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Full text of "The healing of the nations : a treatise on medical missions, statement and appeal"

THE CELUCDCCrSHCP 




18090 WYOMING 
DETROIT. MICH. 48221 
USA. 



The Healing of the Nations 



A Treatise on Medical Missions 
Statement and Appeal 



BY J. RUTTER WILLIAMSON 

(M.B., Edinburgh University) 
Traveling Secretary Student Volunteer Movement 
Late Chairman British Student Volunteer Missionary Union 
Me7?iber of British Medical Association 



Kal tov Trara^ov evrevdev Kal Enelfiev l-vkov fw^f ttolovv Kapirov^ 666eKa, 
Kara pjjva enaoTov cnrodidovv tov napnbv avrov, Kal ra tyvXha tov £v?.ov eif 
depaireiav tuv kdvuv. — Rev. xxii. 2. 



NEW YORK 

Student Volunteer Movement for Foreign Missions 

1899 



COPYRIGHT, l8gy, BY 

al'UDENT VOLUNTEER MOVEMENT 

FOR FOREIGN MISSIONS. 



7c- 



TO 

MY MOTHER 

WHOSK CONSTANT AND ENDURING INTEREST IN 

THE WORK OF 

WORED-WIDE MISSIONS 

TOUCHED MY CHILDISH FANCIES 

STIRRED THE IMAGINATION OF MY BOYISH YEARS 

AND 

DEEPENED THE PURPOSES OF MY MANHOOD 

IS THIS UTTI/E BOOK 

AFFECTIONATELY DEDICATED 

BY HER SON 



PREFACE 

This little volume has been written primarily to pro- 
vide an outline of Medical Missions, for the use of stu- 
dents and young people in Missionary Study Classes. 
There has also been kept in mind the far larger circle of 
Christian people whose interest in the work of Missionary 
Medicine has been limited by their scanty information on 
the subject. It is not such a book as would be read aloud, 
for instance, at a women's sewing meeting, but it is rather 
intended for study and individual perusal. Its aim is to 
present facts that ought to be pondered in the hearts of 
Christian men and women in the Church of Christ, and 
the subject makes a special claim upon the consideration 
of those who are members of the medical and nursing 
professions. 

There is no classic on Medical Missions, unless we ex- 
cept the Gospels.* There is need of one. No one, for 
instance, has, as far as we are aware, worked out at all 
.fully the psychological aspects of the subject. In the 
standard works on psychology, we have been able to dis- 
cover but little dealing with the psychology of the relig- 
ious emotions which were generated in the hearts of men 
and women through the touch of Christ. Artists and 
poets, with their intuitive perceptions, almost always tell 
of personal contact between the Saviour and those healed. 
Though not apparently bearing much on the actual claims 
that suffering makes on the medical profession, this would 

*The nearest approximation to a classic s ", possibly, "Medical Missions: Their 
Place and Power,'' by Dr. John Lowe. 



Preface 

be at least an interesting as well as a valuable scientific 
contribution to the subject. 

Somewhat more has appeared in the realm of Sociology 
and the wider influence upon public life that Medical 
Missions have had. Dr. James S. Dennis's unsurpassed 
work on " Christian Missions and Social Progress " gives 
an important section to the consideration of this topic. 
There is great need for some work which would co-ordi- 
nate the fast accumulating material on Medical Missions 
in periodical literature, and marshal its principles and 
practices into a harmonious whole. 

As a text-book, this is necessarily but a meager outline 
of the subject. The argument from Scripture we have 
taken for granted throughout. It is a topic which has re- 
ceived generous treatment at the hands of other writers, 
and therefore did not seem to demand the emphasis that 
has been laid on other less frequently noticed aspects. 

Our warmest thanks are due to Dr. James S. Dennis 
for his valuable assistance and suggestions as well as for 
permission to use the statistics given on page eighty-nine. 

j. R. w. 

New York, June i, 1899. 



CONTENTS 

Page 

I. Argument for Medical Missions .... 7 

Foreword — Association of Medicine and Religion — 
Definition — Purpose — Necessity for Considera- 
tion—Argument for Medical Missions— Ignorance 
of Native Doctors — Strange Pharmacopoeia — 
Ophthalmia— Superstition— Maternity. 

II. Malpractice in Heathen Lands .... 21 

Brotherly Love— Cruelty of Treatment— Maternity— 
A Powerful Apologetic of Christianity— Insane- 
Malpractice — The Epiphany of Exalted Woman- 
hood—Cruelty to the Doors of Death. 

III. Value of Medical Missions 35 

The Responsibility of Missionaries' Health— Con- 
tributions to Medical Knowledge by Missionary 
Doctors — Temptations of Professional Life — 
Dignity of Profession— Need to God— A Pioneer 
Agent — Influence in Mohammedan Lands — 
Spiritual Results. 

IV. Influence of Medical Missions . ... 51 

Gratitude — Humiliation of Sickness — Sociological 
Influences— Incentive to Education — Uplifting 
Womanhood — Contributions to Science — Stimu- 
lates Benevolence. 

V. Preparation of the Medical Missionary . 67 

Many-sidedness— Sanitary Reforms— "A Hiding Place 
from the Wind" — Mortality — Preparation of the 
Profession — Technical Armament — Listerism — 
Chloroform — Nursing— Spiritual Successes. 

VI. An Appeal ............ 81 

The Daily Round — Diversity of Duties — Diseases 
Prevalent — Difficulties of Work — Qualifications of 
a Medical Missionary — Professional Attainments 
— Statistics of Medical Missions— Appeal. 

Bibliography ..„„,.. . ... . 9 6 



ARGUMENT FOR MEDICAL MISSIONS 



" I am in earnest ; I will not equivocate, I will not excuse. I will 
not retreat a single inch and I will be heard." 

— William Lloyd Garrison. 

i( My country is the world. My countrymen are all mankind." 

— William Lloyd Garrison. 

11 The world's a room of sickness, where each heart 
Knows its own anguish and unrest ; 
The truest wisdom there and noblest art 
Is his who skills of comfort best." 

—Keble. 

" I have long since ceased to pray ' Lord Jesus, have compassion on a 
lost world.' I remember the day and the hour when I seemed to hear the 
Lord rebuking me for making such a prayer. He seemed to say to me, 
' I have had compassion upon a lost world and now it is time for you to 
have compassion. I have left you to fill up that which is wanting in 
Mine afflictions in the flesh for the body's sake, which is the Church. I 
have given My heart ; now give your hearts.' " 

— A. /. Gordon. 



" The student of social philosophy in determining the stage of civili- 
zation at which any nation has arrived regards as an almost infallible 
criterion the degree of esteem in which its women are held." 

— Edward Balfour, 



THE HEALING OF THE NATIONS 



ARGUMENT FOR MEDICAL MISSIONS 

An old church in Damascus which was built in 
Foreword. ^ ear]y days of Christianity, had the words 
" To the Glory of God," inscribed over the portal. The 
Muhammedans captured it and plastered it over. Now 
the plaster has fallen and revealed the old inscription. In 
the spring days of the Christian Era deeds of mercy to 
the sick were' counted part of the life of love which the 
Lover of Men had infused into His followers. 

These kindly offices to those stricken in body have ever 
been a glory of Christianity. Though sometimes in the 
clash and clangor of doctrinal strife the Church has well 
nigh forgotten its ministry to the sick, yet its neglect 
has been but for a little season, to be renewed by at least 
some select and holy souls, with greater fervency and de- 
votion. 

The association of Religion and Medicine is perfectly 
natural. The Christian religion claims to complete and 
consummate, as well as to comprehend, the ends of Medi- 
cine. A God is only thinkable in terms of everlasting 
life. " We are the ministers of life. He is the Prince 
of Life. We fight against death and are all defeated. 
Death assailed Him and He vanquished death." In this 
fight for length of life He is not ashamed to call us breth- 
ren. The justification of the marriage between healing 
and preaching is the life of Christ. It was reserved for 
these closing days of the second thousand years of Chris- 
tianity to revive on a comparatively large scale the work 
of treating the sick, in demonstration of the love of God 
toward their bodies as well as souls. In no sphere is 
this demonstration more needed than among those who 
have never yet heard the story of the Healer of Men. To 



8 The Healing of the Nations 

the heathen abroad, as well as to the godless at home, the 
most convincing proof of the love of God is that it begets 
love to man. 
r» 4, .*. By a Medical Missionary we mean one who 

Definition. - , . r , . r^, . ,-, 

takes the fruits of the Christian lira as ex- 
emplified in modern Medicine and thus seeks to plant the 
roots of Christianity in nations and among peoples who 
are ignorant of its doctrines. The Medical Mission is, as 
Dr. Willard Parker used to say, Clinical Christianity. 
The late professor of medicine in Oxford University said 
recently in speaking on Medical Missions, " that any re- 
ligion to be true must be such as would appeal to all men 
of every race, and in any period of its evolution," and that 
the religion of Jesus exemplified in the work of the Medi- 
cal Missionary did this pre-eminently. 
Purpose. ^ ie P ur P ose OI Medical Missions is not simply 
philanthropic, though it finds its glory in self-sac- 
rificing philanthropy. It is not merely an enterprise to se- 
cure the inestimable benefits of Western Medicine and 
Surgery for those in these terribly needy lands. Its pur- 
pose is not educative alone, though its educational influ- 
ences are far-reaching ; nor is it to provide a temporal ben- 
efit as a bribe for spiritual blessing. 

The purpose of Medical Missions is to win men to 
Jesus Christ by the use of methods precisely comparable 
to those used by Christ when on earth, as the Great Suc- 
corer of Bodies, as well as Divine Saviour of Souls. 

It is passing strange that attention should 
Necessity 'or need to be drawn to the sweet influences of 
Consideration. t hj s love-work. It would have seemed so 
natural a deduction from the religion of 
which love is the essence, even if we had not the records 
of Christ's example. 

"As every lovely hue is light, 
So every grace is love," 

and this sphere of service is surely one in which real abid- 
ing love to fellow-men can be more impressively shown 
than in almost any other. 

Yet to-day its privilege and duty is by no means un- 
questioned. The very fact that North America and Brit- 



Argument for Medical Missions 9 

ain have two hundred and thirty times as many physicians 
as there are Medical Missionaries among the whole of 
heathendom, is ample proof that the Church has not yet 
begun to realize the claims of those other lands for loving 
medical attention. The united population of these two 
countries is but one-ninth of the heathen world. Can it 
be that such a population requires 156,000 physicians and 
can spare less than 700 for the neglected one thousand 
millions in mission lands ? 

Love is the distinguishing characteristic of the Chris- 
tian religion. Other teachers had set high standards of 
faith, others had preached the sternest self-sacrifice ; some 
had even attempted to shadow forth a high hope in the 
future; but Christ alone among the great masters has 
placed this quality as the test of discipleship, and as the 
manifestation of the Godhead. " By this," we hear Him 
say, " By this shall all men know that ye are MY disciples, 
if ye have love one to another." Not only has this been 
recognized by students of comparative religions; it is 
recognized by the world. The world cares little about the 
exercise of faith by professing Christians. It frankly 
confesses its inability to comprehend faith. As to hope, 
it allows the Church to please itself about its glorious 
hope of a hereafter, but when it comes to love, it is 
keen to observe and mark every breach. 

If we are to follow in the steps of Jesus, it is not op- 
tional, but essential, that we walk even as He walked, in 
the path of love. As the justification for Medical Mis- 
sions is the career of Christ, so the prime motive for their 
prosecution is love toward Christ and through Him 
toward men. 

The argument for Medical Missions is 
The Argument for manifold. ,Ve see it ^expressed by the 
Medical Missions, appalling need for such work in the lands 
under consideration. This need is seen 
in the ignorance displayed by those professing to be the 
physicians of these people. 

The native doctors are absolutely ignorant of 

ignorance, the rudiments of scientific medicine. The first 

thing an embryonic medical student in China 

does is to commit to memory the three hundred places in 



io The Healing of the Nations 

the body through which skewers may be driven with 
safety. Some of these so-called " safe " places are ac- 
tually through the abdomen and lungs ! 

It is strange in a country like China, for instance, 
where critical examinations attend each step of a literary 
degree, that no test of any sort is demanded from those 
who practice medicine. There are no doctors in our 
sense of the word — men who have studied the science and 
received the imprimatur of some examining body. Many 
of the native doctors are those who have failed in the lit- 
erary examinations, or who have been unfortunate in 
business. 

They divide diseases into " outside," or surgical, and 
" inside," or medical cases. A doctor's sign often bears 
the legend, " Outside and inside diseases cured." Their 
knowledge of anatomy is still practically nil. No dissec- 
tions are permitted in the Empire. A copper model with 
imaginary organs in imaginary places is sometimes used 
for instruction. They are wholly innocent of any such 
fine distinctions as the differences between veins, arteries, 
nerves and tendons. The trachea is two inches wide and 
one foot long. The liver has seven lobes and is the motor 
centre for the eyes and also contains the soul. The larynx 
goes through the lungs directly to the heart. The centre 
of the thorax is the seat from which joy and delight ema- 
nate. No Harvey has yet arisen to teach the Chinese the 
laws of the circulation of the blood. Authors vary a 
good deal in their views. Some " represent tubes issuing 
from the fingers and toes and running up the limbs into 
the trunk, where they are lost or reach the heart, lungs, or 
some other organ as well as they can, wandering over most 
parts of the body in their course." The Chinese know noth- 
ing of the nervous system, its functions or its diseases. The 
position of the heart is stated to be midway between the 
crown of the head and the sole of the foot — " it must be 
there," is the logical explanation, " for it's the centre of 
the being." 

The pharmacopoeia of these lands is remarkable. Both 
in Persia and China remedies are divided into hot and 
cold. When refrigerants have failed for a long time they 
will say : " Perhaps the patient has had too much of it ; 



Argument for Medical Missions 1 1 

we will change the treatment and try something hot." 
" One last resource remains to the Persian physician to 
save his own reputation — to recommend the patient to try 
a forty days' course of a decoction made from a certain 
root. The victim must take it forty days consecutively, 
three times a day, about half a pint at a time, after food, 
and never once lose his or her temper, or it will be of no 
avail. The fortieth day the patient returns probably 
worse than before, or complains of feeling certainly none 
the better, and at once the physician says, ' But have yon 
lost your temper ? ' Of course, he or she has, and then it 
is not the physician's fault but the patient's." 

A favorite remedy in Korea for anaemia is a jelly made 
from the bones of a man recently killed. A criminal exe- 
cution is largely attended by native practitioners to ob- 
tain this valuable ingredient. (The author has some- 
times wondered if this betokened a sort of lucky foresight 
into our modern treatment of some anaemias by adminis- 
tration of bone-marrow!) 

For catarrhs chips from coffins which have been let 
down into the grave are boiled and said to possess great 
virtue. 

A medical missionary recently told a story of a man 
who had come to him with dyspepsia. He had been or- 
dered to take stone ground up in a paste with water. 
During two years he had taken each day a cupful and 
had consumed half a millstone, about sixty pounds in 
weight. Finding himself no better, he was ordered cin- 
namon bark and had ingested forty pounds of it. It 
seems to us a great tribute to the man's constitution to 
be able to record that ten days of more appropriate treat- 
ment resulted in his complete recovery in spite of the he- 
roic measures previously employed ! 

According to Dr. Wells Williams some of the agents 
administered^are at once archaic and archeological. They 
include snake skins, fossil bones, rhinoceros or hart's 
horn shavings, silk worm and human secretions, asbestos, 
moths and oyster shells. But this list is nothing to one 
that was recorded in a recent Chinese medical missionary 
journal : " Flies are of great use to man, for their heads 
when pounded and used as a pomade form an infallible 



12 The Healing of the Nations 

hair restorer for the head, beard and eyebrows. . . . 
Bats are harmless animals and of great value in medicine. 
Their flesh, applied as a poultice, is a sovereign cure for 
the stings of scorpions; roasted and eaten, they dry up 
the excess of saliva in infants. . . . There is nothing 
better for that dangerous disease, lethargy, than to put 
fleas into the patient's ears." Speaking of bedbugs, "certain 
devout and religious people have been known to put those 
animals in their beds, that they might be more wakeful 
to contemplate divine things. . . . One purpose of 
their creation was, doubtless, to keep us from pride, . . . 
but the main object of the creation of bugs was the bene- 
fit of the sick. They are of remarkable efficacy in the 
hysteria of females, if one puts them in the patient's nose. 
. . . Seven bugs taken in barley water are of great 
value in quartan ague and for the bites of scorpions." 
The writer who quotes the above adds, " Heaven has cer- 
tainly been bountiful to China and well stocked Nature's 
Dispensary." 

In Korea the bones of a tiger are considered a specific 
for cowardice. A strong tiger-bone soup will make a 
hero of the most arrant coward. They argue thus : " The 
tiger is very strong; his bones are the strongest part of 
him, therefore a soup of the bones must be wonderfully 
strengthening." For those who cannot afford such an 
expensive luxury, they may yet obtain some of the 
strength and courage of that ferocious beast by swallow- 
ing a decoction of his mustache hairs, which are retailed 
at the ridiculously low figure of one hundred cash — i.e., 3 
to 6 cents — per hair ! 

Ophthalmia and other eye diseases are extremely com- 
mon in almost all these lands. The author during a trip 
to Palestine once noticed no fewer than ten different dis- 
eases of the eye in the course of a half hour's stroll 
through the bazars of Jerusalem. Thousands become 
sightless every year through the lack of the simplest lo- 
tions and ointments. In China there are estimated to be 
no fewer than 500,000 blind, and in India the number is 
stated to be 458,000. Ophthalmia is still treated in many 
places by a lotion of boiled monkey's feet, pork and alco- 
hol, and notwithstanding such original treatment no cures 



Argument for Medical Missions 1 3 

are reported. A missionary in India describes the case 
of a child who was brought to her for eye treatment : 
" The poor mother said, ' I have been so careful ; I have 
put the country medicine in each day.' We asked what 
it was, and this was the answer : 'A donkey's tooth ground 
up with charcoal, and the powder put into the child's eyes.' 
And for two whole months the mother had patiently ap- 
plied this." 

Their knowledge of pathology is such that resinous 
plasters or dabs of tar are put on whenever pus appears. 
If the suppuration burrows its way through, more plas- 
ter is applied. The ruling principle is to keep it in. 

Some of these practices would be merely ludicrous if 
it were not for the terrible suffering entailed by such absurd 
treatment. A physician of the Celestial Empire does not 
hesitate to thrust a long, uncleanly needle into a patient's 
stomach or liver who comes to him suffering with dyspep- 
sia. Add to this the custom of blistering the wounds 
thus caused, and the extreme danger of the procedure will 
be realized. 

Of course there must be here and there exceptions, 
where the treatment prescribed is at least harmless and 
occasionally beneficial. There is, however, no scientific 
study of the subject, and there are none of the instru- 
ments of precision for diagnosis which to-day are the 
property of the whole profession in our more favored 
countries. The stethoscope, clinical thermometer, micro- 
scope and staining agents are of course quite unknown. 

Mrs. Isabella Bird-Bishop, the celebrated 
Superstition. Asiatic traveler, says that back of almost 
all Asiatic religions is the belief in demons. 
Demonism underlies the Indian religions ; it is para- 
mount in Afghanistan and in much of Arabia, and is the 
bedrock on which the Taoism of China is built. If this 
be true of Asia, it is no less true of large parts of Africa. 
The demons need to be exorcised in cases of sickness. 
The first question is not, as with us, what is the cause of 
this sickness, but rather, who is the cause. In Africa, the 
medicine man is called in to know who has bewitched 
the sick one. He has a string of shells, and by throwing 
these in the air and watching how they fall he pretends 



14 The Healing of the Nations 

to know the exact man, or his spirit should he be dead. 
It is vain for the selected one to protest his innocence. 
" If a man has an apoplectic stroke, this is not due to the 
rupture of a blood vessel in his brain or to any other of the 
natural causes of this condition, but some enemy has cast 
a spell over him or perhaps his father's ghost is angry 
with him." 

It is the natural result of such belief in witch- 
craft that charms and spells should play an important part 
in the treatment of disease. Clairvoyance, miraculous in- 
terpositions and supernatural appearances are common- 
places in the systems of belief in many parts of the 
heathen world, and are constantly resorted to in times of 
sickness. Fortune tellers and astrologers are protected 
by law in China. In the recent Chinese war some inter- 
esting examples occurred of the superstitious darkness 
which still hangs as a pall upon even the comparatively in- 
telligent. A general whose arm was shattered by a ball, 
thinking the daily dressing in Western style was too slow 
a method, called in a fortune teller. Prayers were writ- 
ten in the picturesque Chinese characters upon red paper. 
This was burnt and the ashes administered as medicine. 
During four days the wound was left unattended and the 
general died from blood poisoning. 

In Persia during an epidemic of cholera, thousands of 
prayers were printed and posted above the doors of the 
houses. They were of various kinds ; some in Arabic 
gave detailed directions from the Angel Gabriel that who- 
soever should write out this prayer and " keep it about his 
person shall be safe, and whoever reads it once a day for 
seven days, shall be exempt. And whoever shall write 
it and put it in a cup of water, and shall drink of that 
water, the disease of cholera shall not reach him." A 
traveler in India passing through a village noticed that 
decapitated dogs had been put up in trees at the various 
entrances to the village. Those horrible sights were so 
placed that from whichever side the Cholera Goddess 
might approach, she might be turned back in disgust. 

In China and India gongs are beaten and firecrackers 
ignited to frighten away the evil spirits which are sup- 
posed to be the cause of the sickness. Such a scene is 



Argument for Medical Missions 15 

vividly pictured by a missionary who witnessed the sight : 
" Hearing the noise of a drum, I asked what it was, and 
the woman told me it was a ' girl playing.' It seems she 
had been very ill for two months, and as all remedies had 
failed, the hakim (doctor) said she must be under the 
power of an evil spirit. The ' magicians ' were sent for 
to exorcise the demon. In a small, hot room was a crowd 
of men, women and children ; in the middle, the two ' wiz- 
ards ' — leering men, with faces sodden with good living 
and evil doing. One beat a drum, the other thumped 
with brass pokers on a metal instrument. At intervals 
they recited incantations. The patient was lying on the 
ground before them, while a woman ironed her with a hot 
brick. ' Lift her up,' said one of the ' wizards.' This 
was done and then began a most sickening sight. She 
writhed backward and forward like a snake being 
charmed, the movements getting quicker and quicker as 
the drums beat louder ; then she knocked her head and long 
black hair upon the ground. I spoke to the mother, but 
it was of no use, and the evil looking men beat the drum 
more furiously than ever. In such places Satan's seat is 
firm." Of course, such superstition is the avenue for 
fraud and blackmail of a most exacting kind. 

Fracture cases which have been treated with splints 
in mission hospitals are often carried away by their 
friends to have the splints removed and the fracture 
smeared over with mud from some shrine, in the belief that 
it will unite better. 

In Palestine a missionary physician was called in to 
see the son of a local governor. He found the native 
44 hakim " had written the word "Allah," the Arabic name 
for God, round a plate and then washed it off, giving the 
boy the inky draught. He was sure that he must recover 
now that he had drunk the name of God so many times. 

Bites by dogs are said to be best treated by drawing a 
circle round the wound and writing the word 44 tiger " in 
it, because the tiger is more than a match for the dog. 

" The disease demons may afflict the patient in various 
ways. They come behind him, and hitting him with a 
club, enter the back of his neck, or creep into his 
body and consume his liver. A spirit may get 



1 6 The Healing of the Nations 

into the body and ' gnaw and feed ' inside ; invisible 
spirits may inflict invisible wounds with invisible spears, 
or, lodging in the heart, may make men mad. Sometimes 
it is the spirit of a bear, deer, turtle, fish, tree, stone or 
worm sent into the spirit of the sick man, or, as we have 
often heard them say, ' a ghost sitting on the chest of a 
patient.' . . . 

" Thorns and bushes are put in the pathway of the small- 
pox spirit, or thorns, ditches and stinking oils may bar- 
ricade the way of his approach. In New Zealand the 
disease demon is to be charmed on a flag-staff ; in Mala- 
gasy the patient's ailments are to be recounted to seme 
grass, ashes, a sheep or a pumpkin, and the disease spirit 
prayed to for their removal. The Patagonian was wont 
to beat a drum and the Dacota to shake his gourd and 
bead rattle to scare away the disease. The most wide- 
spread formula, however, is that of sucking or blowing on 
the diseased organs, accompanied with incantations, and 
the extraction of stones, splinters and bits of rags, amidst 
drumming, dancing and drinking. Not infrequently 
the disease is transferred by various means. The sick 
man's blood may be run into an ant-hill or dropped in the 
mouth of a frog or a live fowl, or sent into a leopard's 
claw, a nail, a rag, a puppy or a duck. Such being the 
world's theories of disease and its treatment, it is plain 
that medicine and theology go together in the thought and 
life of the non-Christian man. Pie is quite prepared to 
receive them together from the Christian missionary. 
1 In nothing has the savage (and it is true of many more 
than the savage) been more religious than in his medicine, 
if it may be so called,' says one of the ablest ethnogra- 
phers of our day. His medicine-man is always his priest, 
whether we call him shaman, conjurer, sorcerer or wiz- 
ard. Sickness being the effect of the anger of a god, or 
the malicious influence of a sorcerer, he naturally seeks 
relief from his deity. ' The recovery from disease is the 
kindliest exhibition of Divine power, and the Christian 
Medical Missionary occupies a lofty vantage ground in 
his work.' "* 

Superstition is the subtlest and most tenacious enemy 

*" Women's Medical Work in Foreign Lands," by Mrs. J. T. Gracey, pp. 10-12, 



Argument for Medical Missio?is 1 7 

of Christianity. In no way can the belief in demons be 
more effectually shattered than by the work of the Med- 
ical Missionary. A minor operation, or a few doses of 
medicine, may cure a condition which has been affirmed to 
be consequent on some bewitching agency and which can- 
not be cured except by incantations,, mantrams, or gaudy 
idolatrous processions to appease the wrath of some 
plague god, or disease demon. 

It is difficult for those in Christian countries to realize 
the vast amount of suffering — mental and physical — 
which might be prevented and of sorrow which might be 
comforted, if only the voice of the Husbandman was 
heard as He calls for laborers to dress the vines and gather 
the grapes, which now are being so bruised and down- 
trodden in His far-away vineyards. 

We would conclude this chapter by telling a story 
which is being enacted to-day in countless homes of India 
— a strange, weird mingling of ignorance, superstition, 
cruelty and neglect; which will surely appeal to the ten- 
derness of every woman reader. 

It is the home of a high-caste Hindu. A mother and 
a little child less than a week old are lying unconscious. 
The mother has survived the unspeakable barbarities of 
the native midwife, and now she and her child are perish- 
ing for want of food and from neglect. 

" Every step of her treatment had been laid down in 
their sacred book. . . . For the first three days she 
has been deprived of food and drink, and on the third al- 
lowed one grain of rice. Her room has been prepared by 
placing her in the darkest and dirtiest of the house, with 
the most filthy of rags, on a mud floor for her bed. A 
cow's skull painted red, an image of Sasthi, the goddess 
who presides over the destiny of women and children, 
. . . is placed in a conspicuous position. This and the 
pot of smoldering charcoal, the only furniture, are 
placed there to expel the evil spirits hovering round. Dur- 
ing her three weeks of uncleanness neither father, mother, 
husband nor sister can come nigh her, leaving her to the 
care of the barber's wife. On the fifth day the filthy 
clothing is removed and the room cleaned, as on the next 
is to be the worship of Sasthi, and that night Yidhata 



1 8 The Healing of the Nations 

will write on the child's forehead the main events of his 
life. The day has arrived, Sasthi has been worshiped. 
The woman has been given a cold bath, all necessary ar- 
rangements for Yidhata's visit have been made, food con- 
sisting of a coarse graham flour and coarser brown sugar, 
equal parts, wet and kneaded together, to be eaten raw, 
has been prepared for the famished mother, but both 
mother and child are unconscious, and the foreign doctor 
is called to bring them back to life."* These are thy 
Gods, O India ; these are Thy rivals, O Jehovah ! 

When shall a prophet of God be able to look toward 
these dark places and chant the anthem, "Arise, shine, for 
thy light is come, and the glory of the Lord is risen upon 
thee " ? 



* Missionary Review of the World, September 1-95, p. <388. 



MALPRACTICE IN HEATHEN LANDS 



" In the name of God, Who h:is made us of one blood and in Whose 
image we are created ; in the name of the Messiah Who came to bind up 
the broken hearted, to proclaim liberty to the captives and the opening of 
the prison to them that are bound, I demand the immediate emancipation 
of those who are pining. ' ' 

— William Lloyd Garrison. 

" Ask God to give thee skill 

In comfort's art, 
That thou may'st consecrated be 

And set apart 
Unto a life of sympathy, 
tor heavy is the weight of ill 

In every heart, 
And comforters are needed much 
Of Christ-like touch." 

— A. E. Hamilton. 

" For the heart grows rich in giving : all its wealth is living grain. 
Seeds which mildew in the gainer, scattered, fill with gold the plain. 
Is thy burden hard and heavy ? Do thy steps drag wearily ? 
Help to bear thy brother's burden : God will bear both it and thee." 

— Mrs. Charles. 

*' The possession of a great ideal does not mean, as so many fondly 
imagine, work accomplished : it means work revealed — work revealed so 
vast, often so impossible, that faith and hope die down, and the enthusiast 
of yesterday becomes the cynic of to-morrow.' ' 

— George Adam Smith. 



20 



II 

MALPRACTICE IN HEATHEN LANDS 

It is stated that whenever Captain Cook touched new 
soil in his travels he sowed seeds of British plants. Later 
colonists found to their surprise plants of their home land 
growing in their newly adopted countries. As we voy- 
age in thought along the shores of history we see that 
wherever Christianity has gone there grows more or less 
luxuriantly the flower of brotherly love — a veritable sen- 
sitive plant to rough and careless handling. It is a great 
thing for our lands to-day that the body politic is so ex- 
quisitely alive toward customs which involve pain or 
cruelty to either the lower animals or to fellow men. 
Sometimes this public conscience may seem to be callous 
for a while ; sometimes it becomes morbid or hysterical ; 
yet, as a whole, in every Christian nation, it is to be pro- 
foundly trusted to eventually deliver a right judgment. 
Cock-fighting, bull-baiting, pugilism, cruelty to helpless 
children, or to the blind or insane, are all doomed in everv 
nation which seeks to follow even afar off in the steps ot 
the Great Altruist. 

The Christian world is a great nervous system which 
feels the shock and thrill of pain from its most distal ex- 
tremities. Atrocities in Armenia, famines in India, 
floods in China, persecutions in Russia and misgovern- 
ment of degraded or oppressed peoples, all bring their 
message and make impact upon thought, memory, prayer — 
and at last, though, alas, slowly, stir the heart to help, res- 
cue and redeem. 

" He's true to God who's true to man wherever wrong is done 
To the humblest and the weakest 'neath the all-beholding sun. 
That wrong is also done to us, and they are slaves most base 
Whose love of right is for themselves, and not for all their race. 

Yet there seems to be a strange anaesthesia which has 
21 



22 The Healing of the Nations 

settled upon the Church of Christ in reference to the bodily 
pangs and pains which are being so agonizingly felt by 
thousands for whom the temporal as well as spiritual bless- 
ings of Christianity were intended. Is it that she has re- 
ceived these messages of pain so infrequently that a path 
has hardly been established toward her perception centres, 
or has she merely been slow to discern from whence they 
came and to what duty they called her ? 

Whatever be the true reason, the fact is patent that the 
followers of Christ have allowed this suffering to continue 
unmitigated by loving help, and are only now beginning 
to realize and rescue. 

" The tender mercies of the wicked are cruel." 
rue ty. Tg norance in the treatment of the sick were bad 
enough ; superstition is degrading and paralyzing in its 
effects ; but cruelty blasts the dim light of conscience which 
is in every man's secret heart and hardens the unhappy 
victim into desperation and despair. 

" In Arabia, an ingenious expedient for relieving a pa- 
tient is burning holes in the body to let the disease out, 
branding sick children with red hot bars, chopping off 
wounded limbs and sealing them with boiling tar." Cut- 
ting with knives and scarification are frequently resorted 
to. Sometimes, of course, this violent counter-irritation 
is of some benefit, at least temporarily, though the result- 
ant wounds often suppurate for years after the operation. 
A Chinese doctor has great faith in moxa, which is a pow- 
der made of various medicaments including saltpetre, and 
which is ignited on the skin of the patient. 

Dr. Rosetta S. Hall gives an account of the visit of a 
Korean doctor to a sick child : " The first thing he did was 
to make a little pyramid of brownish looking powder 
upon each breast of the child, and then to set it on fire un- 
til it burned the tender skin. This was followed by the 
use of a large darning needle, which was first thrust 
through each little foot, then the palms of the hands, the 
thumb joints, and through the lips into the jaw, just be- 
neath the nose." Imagine, if you can, the agonizing 
screams of the child while this barbarous and useless 
cruelty was being practiced ! 

Think of the treatment in this land of mothers in the 



Malpractice in Hcathe7i Lands 23 

throes of childbirth and compare it with the customs in 
heathen lands. Here, all is made subservient to the moth- 
er's comfort. If she is poor, our splendid maternity hos- 
pitals are open for her reception. The room is prepared, 
the footfall becomes more quiet as it approaches her door, 
the merry shouting of the children is hushed, friends are 
near, and the trained skill of nurse and physician are at 
her command. "All Hindu women," wrote the veteran mis- 
sionary, Mrs. Weitbrecht, some few years since, " whether 
rich or poor, are utterly neglected in time of sickness." The 
native nurses are all the majority of sick women in India 
have for doctors. They are ignorant, immoral and exces- 
sively meddlesome. Countless mothers and infants fall a 
prey to horrible barbarities inflicted in the name of service, 
during their hour of peril. In India a tardy labor is assisted 
by a bamboo pole, or a plank of wood laid across the 
woman's abdomen, with a heavy assistant seated on each 
end. In Siam the mother is made to expose herself for 
many days to a fire built up of wood about eighteen inches 
from her body, with the result that serious burns occur, 
causing weeks or months of suffering, and at length heal- 
ing with extensive cicatrices and the usual diseases conse- 
quent upon prolonged suppuration. Supposed to be pos- 
sessed by some evil spirit, they are objects to be shunned, 
and every possible cruelty may be resorted to that the de- 
mon may be expelled. In some places the mother is ban- 
ished in a winter cold, many degrees below zero, to a hut 
of bark for ten days, and is frequently quite alone and 
often half starved. 

A lady missionary relates a visit she paid to the home 
of a Muhammedan teacher, where both wife and children 
are loved by husband and father. On the bed is a lit- 
tle child of three years in convulsions. "As we enter, a 
barber has just finished shaving the hair from the head 
just over .... the place where the brain can be seen 
to pulsate in an infant's head and is called by the 
natives of India ' the door to the brain.' A Muhamme- 
dan doctor lifts a red hot piece of iron from the fire and 
presses it to the exposed part, destroying the tissues to 
the skull, and to my cry of horror and dismay the father, 
in an agony of sorrow, answers, ' Oh, Miss Sahib, for 



24 The Healing of the Nations 

many days that door was open and an evil spirit entered 
there and must be destroyed, or our child will die. ' " 

A dislocated ankle is reduced by strapping two 
boards to the sole of the foot and driving a stout wedge 
between them, much on the same principle as the infa- 
mous " boot " used during the Inquisition. 

Fractures are sometimes placed in splints of rough un- 
padded bark and are tied up with coarse 'string so tightly 
that severe wounds or mortification frequently occurs. 

In China, it is customary to " let out " pain in the head 
by piercing the eyeball or drum of the ear, often produc- 
ing thereby blindness and deafness. 

Some time ago a conversation was heard between some 
natives of one of these lands on the advantage of having 
doctors, and one man related how his wife had been 
treated for a headache. Several old women took her in 
hand. They bound a towel about her forehead, placed 
a brass pot on her head, filled the pot with boiling water, 
and for about two hours kept up the temperature by la- 
dling out the cooling water and adding boiling water in its 
place. At the end of the two hours the patient had lost 
her pain. She was dead.* 

Dr. Mackenzie wrote from Tientsin : " I was called to 
attend a woman in one of the yamens, who was suffering 
from spasmodic asthma, and found a slave girl beating 
the back of the chest with a large stick like a rolling-pin, 
with the idea of giving relief." Necrosis and ulcer from 
the terrible custom of foot-binding in China is very com- 
mon. The British Medical Journal of Jan. 28, 1899 (p. 
231), says : " It not infrequently happens that the flesh be- 
comes putrescent during the process of binding and por- 
tions slough off from the sole. Sometimes a toe drops 
off. . . . Elegance is secured at the cost of months of 
suffering." The hakims of some nations treat rheuma- 
tism by sticking long pins into the patient having tow 
dipped in oil around the heads of the pins. This is 
lighted and into the wounds thus caused are inserted 
" medical nails," composed of corrosive sublimate, arsenic 
and salt. The profuse discharge saps the strength and 
sometimes destroys the lives of the patients. Another 

* Mercy and Truth, p. 75, Vol. I., 1897. 



Malpractice in Heathen Lands 25 

plan of treatment of rheumatism in the ankles is that of 
cutting open the back of the heel, scraping away the mus- 
cular tissues down to the bone, filling the cavity with 
cayenne pepper and then stitching up the skin. Gangrene 
is by no means an infrequent sequel to such procedure. 

It is stated by medical missionaries in China that oc- 
casionally a native physician finding himself unable to 
cope with a case of illness of a parent, will order a soup 
made from the flesh cut from the arm of a son or daugh- 
ter. It is hard for us to realize what must be the pain in- 
flicted by such an operation, conducted without an anaes- 
thetic and in the roughest and most pitiless manner. 

In delirium from fever, the sufferer in Northern India 
is believed to be possessed by a demon, and is put in an 
outhouse and chained hand and foot to a stone block. 

In Tibet the approach of a small-pox epidemic pro- 
duces a frenzied fear which is met. by terribly summary 
methods of extinction by burning the patients alive, 
or hurrying them over the edge of rapid torrents, or by 
the slower and more painful process of starvation on a 
mountain top to which they have been carried. " It is 
the glorious work of the missionary physician to over- 
throw these barbarous systems of medical treatment . . . 
and to substitute for them the scientific methods, the skill 
and the suavities of . . . Western Medicine. . . . 
To our medical sisters is the special honor given to en- 
ter the domestic Bastilles of the East with healing and 
light, and to make an end by their skilled and beneficent 
methods of the barbarous practices of native midwifery, 
and of the many remediable sufferings of their own sex." 

If you would seek to measure the power of Christian- 
ity, look at and compare the treatment of the sick before 
Christ came and where to-day He is 
a Powerful Apologetic not known, with that of countries 
of Christianity. where His influence has been felt for 

generations. We would commend 
the study of this subject to any who wish for a new line of 
apologetics which will assuredly strengthen their faith in, 
and magnify the office of, the principles brought into the 
world through the love-manifestation of God in His 
Son, Jesus. 



26 The Healing of the Nations 

We would not seem to claim that institutions for treat- 
ment of the sick were unknown till the advent of Chris- 
tianity. Far from it. Notably in India, during the 
Buddhist ascendency, about 300 B. C, hospitals were 
founded. In that country, as well as in Arabia, Egypt, 
Greece and Rome, there was constant association of the 
healing art with religious functions. But with a few 
notable exceptions their methods were a strange medley 
of superstitions and incantations, with but little admix- 
ture of rational treatment. And in the best examples of 
history we see but a faint foreshadowing of pure altruism 
and sacrifice for others, which finds so exalted a place in 
Christian Medicine. 

" Did Athens with three-fourths, and Rome with 
three-fifths, of her population in slavery build hospitals 
for the sick, the lame, the blind, the insane, the leper? 
Did these humanitarian feelings and customs of benevo- 
lence arise in India or China or Japan, with their highly 
praised, elaborate system of morals? Among Pagan na- 
tions there has been high culture, art and eloquence, but 
little humanity. Greece and Rome had shrines for num- 
berless divinities, forty theatres for amusement, thousands 
of perfumery stores, but no shrine for brotherly love, no 
almshouse for the poor. Millions of money were expend- 
ed on convivial feasts, but nothing for orphans or for 
homes for widows. ' In all my classical reading,' says 
Professor Packard, ' I have never met with the idea of 
an infirmary, or hospital, except for sick cats (a sacred 
animal) in Egypt.' "* 

Dr. Dollinger says : Among the millionaires of Rome 
there was not one who founded a hospice for the poor or a 
hospital for the sick." 

" The sympathies of the heathen have never extended 
beyond the class, or at widest the nation ; but those of 
Christianity are as wide as the human race. Christianity 
alone has established hospitals for an alien race on the 
simple ground of a common human brotherhood. "t 

Christianity was but in its early centuries when Fabi- 
ola, a Roman lady of ancient and noble lineage, founded 

* " The Growth of the Kingdom of God." Sidney Gulick. p. 265. 
t " Life of Peter Parker, M.D." 1896. p. 345* 



Malpractice in Heathen Lands 2 J 

the first famous Christian hospital. This hospital was 
situated some distance from the city, in a healthy location. 
Its fame, we are told, spread throughout the Roman Em- 
pire " from the Egyptians and Parthians to the cities of 
Britain.'' Fahiola sold her very large patrimony and 
founded a convalescent home in connection with the hos- 
pital. " She constituted herself a nurse, the first of her 
order, and was in the habit of bearing the sick about, and 
of bathing their sores on which others would not look. 
No less generous of her person than of her purse, she 
braved discomfort that would have discouraged others 
and seemed to feel that in caring for the wounds of her 
patients she was caring for those of her Saviour. The 
same devotion is praised also in the case of the Empress 
Flacilla, who went herself to the hospitals, took care of 
the sick, prepared their food, tasted their drink, and per- 
formed for them all the duties of a menial ; and when they 
sought to turn her from her purpose, she replied : ' Let the 
Emperor distribute his gold ; this I will do for them on 
whose behalf he holds his Empire.' "* It is only on the 
banks of the stream that flows from the throne of God that 
there grows the tree whose leaves are for the healing of 
the nations. 

Look at the treatment of the insane in these 
Cruelty to lands and compare it with that in Syria, China, 
insane. Arabia or Persia. In the latter country, " the 
poor lunatic is chained, his feet fastened in the 
stocks, is constantly beaten and half starved with the idea 
that if badly treated the devil will the sooner leave him. 
And then, as a last resource when the friends have grown 
tired of even this unkind care of their relative, the lunatic 
is given freedom in the desert. His hands are tied behind 
his back and he is led out into the desert and is never 
heard of again." 

We believe we are right in stating that there is not 
a single asylum for the treatment of the insane by mod- 
ern principles in the whole of Syria and Persia, though 
probably before the year has passed there will be one 
established at Lebanon. Mr. Waldmeier, to whose earn- 
est advocacy, together with that of two eminent asylum 

*" Hospitals and Asylums of the World," Burdette, Vol. III., p. 34. 



28 The Healing of the Nations 

physicians, this first asylum will be mainly due, records 
that the condition of the mentally diseased in Syria defies 
description. "A young fellow of twenty-three years be- 
came insane with acute mania. Of course, he was 
chained and actually walled up in a cave. Through a 
hole they used to throw him sometimes a few dried figs 
and some bread. He became just like a wild beast ; his 
nails grew long like claws, and he used to tear the rats 
and mice which were in that abode into pieces to satisfy 
his hunger. . . . He did more that would be unseem- 
ly to mention. He was relieved by death at last, having 
been in this fearful state for four years." Another pa- 
tient in a different part of Syria was put in iron chains 
and given in charge of two merciless fellows, who beat 
him until relieved by death. 

" The Muhammedans have a place at Nablous for 
those who have lost their reason, and this place is called 
El Khudr, the patron of which is the prophet Elijah, 
who shows his power in casting out devils from the 
madjaneen. If there is any Muhammedan who is madja- 
noon, they bring him to El Khudr at Nablous. There he 
is put at once into a horrible position ; his arms and feet 
are put around a pillar, and as they are not long enough 
to meet they are fastened together with chains. In this 
cruel position the poor sufferer sits naked, day and night, 
on the ground, deprived of the use of his arms and feet. 
A little food is given him by the man who has the oversight 
of the place. Of cleanliness we cannot think here; the 
filth defies description. A Muhammedan sheikh comes 
from time to time and reads to the insane portions from 
the Koran, and implores the prophet Elijah to cast the 
demon out from the man. Then the sheikh binds amu- 
lets around his arms and feet as charms and bleeds him in 
different parts of the body." In this Bicetre of the East 
no Pinel has yet arisen to unchain the maniac and inaugu- 
rate more rational lines of treatment. 

The writer will never forget a conversation he had 
one morning on the steps of a hotel in Jerusalem concern- 
ing the care of the insane. The proprietor was speaking 
with the earnestness and conviction of one who himself 
had come into contact with the terrible lack of proper pro- 



Malpractice in Heathen Lands 29 

vision for the care of such cases. A friend in a compara- 
tively good family had become mentally afflicted and no 
place suitable could be found for his reception. " Surely," 
he said to us, "if Christians believed what they say they 
believe, they would seek out and care for those who have 
no man to care for them." " Care for those who have no 
man to care for them " — the words rang through our 
thoughts for weeks afterward. Was not this exactly the 
purpose for which Christ came? They that are whole 
have no need of a physician, but they that are sick. 

If any reader would urge the objection that such work 
would be useless for the extension of the Kingdorn of 
God, we would give a two-fold reply. Firstly, if this is a 
plain and imperative duty toward humanity, who of us 
is hardy enough to deny its religious importance, both as 
an act of obedience to the laws of the love-life, and as 
a spectacular demonstration of that life before others? 
Secondly, we would remind such objectors that many 
forms of insanity are showing with modern treatment a 
recovery ratio varying from forty to sixty per cent. 
Would it not be worth while to do this work for the sake 
of that proportion of cases whose recovery will be as- 
sured and who, therefore, will come as legitimately into 
the field for evangelizing efforts as any other sick or dis- 
eased in these lands ? It is instructive to us to remember 
in this connection the example of Jesus Christ toward 
those who were mentally unsound in His day. 

Not only is there cruelty in these dark places 
Aiaipractice. of ^ eart ^ \y Ut t h ere [ s abundant evidence 

of what, in civilized communities, is indictable criminal 
malpractice, as well as pure cruelty and neglect. " It is not 
unusual in polygamous households for discarded or un- 
cared for wives to bribe the midwife to inflict such an 
injury upon the favorite wife as shall render her incapa- 
ble of further child-bearing." Mrs. Bird-Bishop states 
that during her travels in Asia she was asked no fewer 
than 200 times for drugs which would take away a favor- 
ite wife. We know that abortion-mongers are by no 
means infrequent in the great cities of Christian lands. 
Yet here at least they have to pursue their craft secretly, 
because of the pressure of a growingly healthy public 



3 o The Healing of the Nations 

opinion on the matter. Where there are no licenses re- 
quired to practice Medicine, where superstition and gross 
ignorance combine to allow anything to be done which 
is dictated by the priest-physician or meddlesome mid- 
wife, where there is no such thing as healthy public opin- 
ion, there are the very elements in which the charlatan 
can flourish and pursue his abominable, nefarious and 
deadly traffic. 

The immoral procedures to which thousands of women 
are subjected in the name of medicine in these countries 
are beyond recital on the printed page or the public plat- 
form. Occasionally the press in our own land rings with 
the story of some poor fellow who has degraded his pro- 
fessional knowledge to ruin morally and physically a weak 
and ignorant woman. The conscience of noble woman- 
hood tingles at the thought of such degradation to one of 
their sex. 

A great American preacher has said that one of the 
supremest contributions of Christianity is the gift of a 
burning heart to a world out of heart. The religion of 
Jesus is, after all, the jubilee of kindheartedness, the 
epiphany of exalted womanhood. The high position of 
women to-day is the product of Christianity. Shall not, 
then, the hearts of Christian women burn within them as 
Jesus Himself draws near and interprets to them from 
these new scriptures of knowledge the things concerning 
Himself ? It is the Master who is suffering in the persons 
of those who are sick and in prison and are left uncared 
for, untended and unvisited. 

Here is far more than mere cruelty or immorality. It 
is touching the secret springs of a nation's life. It is of 
imperial importance. If the wife and mother be degraded, 
love cannot flourish and the home is blasted. If the home 
is blasted the national unit of strength is destroyed and 
there is moral decadence. This is exactly the sight with 
which we are confronted in these lands. Women of Amer- 
ica and women of Britain, will you not rise to this oppor- 
tunity for rescuing not only the women in these countries, 
but also, through them, purifying, ennobling and uplifting 
the national life and conscience? 

The sick and injured of these lands are crushed like 



Malpractice in Heathen Lands 31 

pack-ice between two approaching icebergs. On the one 
side is disease claiming from them their life ; on the other 
are the hardly less agonizing attempts at treatment. 
" Quackery is' a miasmatic jungle around which the clean 
vitalizing work of the Gospel stands out wholesomely.'' 

Even when death is approaching, similar 
cruelty to the cruel practices are persisted in. An aged 
Doors of Death, parent sick and dying is often carried off to 
a hilltop and left there with a pot of water 
and a few barley balls, to perish. " In China, when all 
hope is given up of a patient's recovery, the custom is to 
dress them at once in grave clothes and to remove them to 
a board and trestles away from the ordinary bed, so that 
it shall not be defiled." 'Their diagnosis of approaching 
death is none too accurate, so that it often happens that 
the closing hours or days are spent in terrible discomfort 
and pain and the end hastened by this shameful neglect. 
A missionary wrote us recently from North China, say- 
ing he had been called in to a case of a man who was dy- 
ing. The hubbub of wailing and lamentation was so 
great as to make conversation with the patient almost im- 
possible.* 

We would mentally contrast such scenes with those in 
the home lands when relatives and friends are passing 
from us to be with Him. Here all is done in those closing 
hours which love and forethought can devise for the 
amelioration of pain and the quiet peacefulness of the 
sick one. There it is noise and din, wailing and mourn- 
ing, cold and neglect, and utter and hopeless darkness. 

"The paths of pain are thine. Go forth 
With patience, trust and hope ; 
The sufferings of a sin-sick earth 
Shall give thee ample scope. 

* " The sick, if homeless, are transported from doorway to doorway, since it is the 
Ie?al custom to hold a man responsible for the funeral expenses of a stranger dying at 
his gate and he is, moreover, exposed to blackmail under such suspicious circumstances 
In Korea an in-tance is recorded in a recent communication from a missionary, in which 
a sick man was hurriedly transported from village to village for a period of five days, 
without food, the inhabitants of each village fearing, in case he should die within its 
precincts, 'that his spirit would remain to haunt them and work them mischief,'" 
(Christian Missions and Social Progress. Dr. Jas. S. Dennis. Vol. I ) 



32 The Healing of the Nations 

Beside the unveiled mysteries 
Of life and death go stand, 

With guarded lips and reverent eyes, 
And pure of heart and hand. 

So shalt thou be with power endowed 
From Him who went about 

The Syrian hillsides doing good 
And casting demons out. 

That good Physician liveth yet, 
Thy friend and guide to be ; 

The Healer by Gennesaret 

Shall walk the rounds with thee." 



VALUE OF MEDICAL MISSIONS 



" He is a path, if any be misled ; 
He is a robe, if any naked be ; 
It any chance to hunger, He is bread ; 
If any be a bondman, He is free ; 
If any be but weak, how strong is He ! 
To dead men, life He is ; to sick men health, 
To blind men sight, and to the needy wealth ; 
A pleasure without loss, a treasure without stealth." 

'« A thing is great partly by its traditions and partly by its opportunities 
—partly by what it has accomplished and partly by the doors of service- 
ableness of which it holds the key." 

— George Adam Smith. 

" A Christian man is the most free lord of all, and subject to none ; a 
Christian man is the most dutiful servant of all and subject to every one." 

— Martin Luther. 

"I will follow that system of regimen which, according to my ability 
and judgment, I consider for the benefit of my patients, and abstain from 
whatever is deleterious and mischievous. I will give no deadly medicine 
to anyone if asked, nor suggest any such counsel. . . . With purity 
and with holiness I will pass my life and practice my art." 

—Hippocrates'' Oath, from " Genuine Works of Hippocrates" 
by Frances Adams. 



34 



Ill 

VALUE OF MEDICAL MISSIONS 

The reasons for Medical Missions are by 
Vame to othei nc means exhausted by the consideration of 
Missionaries, tnc physical needs in heathen lands result- 
ing from ignorance, superstition, cruelty 
and malpractice. 

A strong argument for the association of physicans 
with missionary operations might be built up on the sin- 
gle fact of the requirements of other missionaries and their 
families for medical aid. Every year a little army sails 
from Christian lands as missionaries. This wave of con- 
secrated life breaks not only on distant shores, but is car- 
ried far inland away from many of the resources of mod- 
ern civilization. Every missionary represents his coun- 
try and his Church and their reputation in a measure rests 
upon him. The responsibility for their health is one of 
serious moment, considered even on the low ground of the 
expense at which the Boards are at for their transporta- 
tion to the field. 

No civilized government sends its agents on an expe- 
dition in a difficult climate without adequate medical as- 
sistance. Modern warfare depends for success as much 
on preparation against fevers as on shot and shell 
and skillful marksmanship. Yet scores of Ameri- 
cans and Europeans are in the mission field with their 
families far away from any skill in the time of sickness. 
When we realize the value of these lives, when we remem- 
ber the large proportion of missionaries' children who in 
turn become missionaries, one sees in a new light the holy 
privilege of being able to prolong their lives by thought- 
ful advice and to save them when the ravages of climate 
are doing their best to break and shatter their health. 

35 



$6 The Healing of the Nations 

In Turkey some years ago a missionary's child died ; 
a second died; then a third little one was taken. The 
fourth was ill, and the parents made a desperate effort to 
reach a doctor in time. They went a long journey, only 
to hear the verdict " too late " and to turn homeward, 
bringing back with them their last child to lay beside the 
other three. 

" In the interior of most foreign lands the only medical 
aid available is that rendered by the missionary doctor. 
Excepting in the principal seaports of China, Africa and 
Turkey, in the large cities and cantonment centres of In- 
dia, and in a few corresponding places in other lands, the 
onlv skilled physicians at hand are those possessed by the 
missions themselves. It is a matter that calls for grati- 
tude to God that the lives of the missionaries — the most 
valuable commodity of a mission — have frequently been 
saved, their health preserved and sickness avoided by the 
timely attendance and advice of the resident missionary 
physician. It is a matter to be regretted that not infre- 
quently devoted and earnest missionaries eager to preach 
the Gospel in new and remote districts have prematurely 
sacrificed their lives or permanently injured their health 
for the cause, when with a knowledge of Medicine in their 
own part, or the help of a competent physician, they might 
have saved them, to the greater good and enlargement of 
the work they sought to establish."* 

Again and again a missionary has to make a journey 
of hundreds of miles, where traveling is excessively slow, 
in order to reach some medical mission and consult the 
physician there on his own behalf or for a wife or child 
with whom he has had to journey. This is not only a 
very expensive matter in money, but also dislocates the 
work of the mission by the enforced and prolonged ab- 
sence of one or more missionary agents. It is, of course, 
recognized that in some parts of the field medical mis- 
sionaries are not required and would be superfluous. But 
that is not true of vast tracts of unoccupied territory 
which could best be reached through the association of 
medical work with that of the ordinary clerical mission- 
ary. Ought there not to be a medical missionary 

*Tbe Medical Mission. W. J. Wanless. p. 58 et seq. 



Value of Medical Missions 37 

within easy access of every considerable mission sta- 
tion for the maintenance of the health of those workers, as 
well as for his or her own special influence ? 

The opportunities of practice abroad are 
value to the Pro- far more numerous than at home. Our 
fession at Home profession needs the contributions of this 
immense field of clinical experience. Al- 
ready workers in mission lands have rendered valuable 
service in many departments. This has been notably so 
in such subjects as tropical fevers, tumors, calculi, eye 
and skin diseases. The enormous number of cases pass- 
ing annually through the hands of many mission sur- 
geons make their records and generalizations of peculiar 
importance. 

We note that in one hospital in North India during 
1897, 1,200 operations were performed on the eye and 
nearly 100 malignant tumors were removed. We under- 
stand that this was the work of two surgeons. It is re- 
corded of Dr. Kerr, of China, one of the oldest medical 
missionaries, that he has had 700,000 cases which have 
been aided, that he has performed 40,000 operations and 
stands second only to Sir William Thompson in the num- 
ber of times he has operated for calculus — 1,300 times. 

The gain to the profession at large would have been 
far greater if medical missionaries had possessed greater 
leisure. The overworked and undermanned condition of 
almost every medical mission has made the task of col- 
laboration of experience an excessively difficult one. Yet 
they stand in these far away outposts of the world in a 
position where they can render very real service by the 
records of their experience, which will be of value to their 
successors on the field and through the profession to gov- 
ernments and to commerce. 

Moreover, not only does our profession claim the re- 
sults of such unique experience, but it needs medical mis- 
sionaries for its own sake. 

New temptations are springing up in the spirit of 
commercialism, overriding and selfish ambition which 
threaten to rob the profession of Medicine of something 
which has so illumined it in the past. " The practice of 



38 The Healing of the Nations 

the healing art is an occupation intrinsically dignified. The 
true physician recognizes in the most abject human being 
a fellow man and in the most exalted nothing more." 

" We claim to constitute or represent a liberal profes- 
sion and the very idea or essence of a liberal profession, 
as distinguished from a trade, is that the acquisition of 
money is not its primary object." 

Again and again this nobility has been strenuously 
maintained. When some feeble attempts were made to 
obtain a patent for the use of ether or to keep secret the 
process of etherization, or when within the past few 
months a patent was sought for the preparation of an anti- 
toxin, the indignation of the profession was aroused. 
" The money changers were driven from the temple of 
humanity." 

Prof. Geo. H. Wilson was responsible for the state- 
ment many years ago that " the gratuitous professional 
services of medical men far exceed in number and weight 
the gratuitous professional services of ministers of all 
Churches or denominations." 

Our great profession in every age has had the reputa- 
tion of nobility and self-sacrifice. This is one of our 
most precious heritages. We can conceive of few things 
which will so maintain this high repute and ennoble and 
glorify its beneficent character as the going forth from 
the midst of it of a band of men and women to surrender 
their talents for those who are in physical and spiritual 
destitution. As a great surgeon* said, " We ask you to 
honor the profession by helping it to honor and adorn it- 
self, by helping it to write on the bells of the horses, 
' Holiness unto the Lord,' by helping it to be instrumental 
in saving the souls a^s well as the bodies of men, by helping 
it to place in its coronet new jewels of greatest value and 
brightest lustre, by helping it to twine in its garland a 
new wreath from the ever-green and ever-growing plant 
of renown." In thus honoring the profession we shall 
honor the profession's Head, the Lord Healer, God, who 
became man, and bore our sicknesses and carried our sor- 
rows. 

All we have we owe to God. " Ought " is just 

* Late Dr. Miller, Professor of Surgery, Edinburgh University. 



Value of Medical Missions 39 

the Need the old Anglo-Saxon for " owe." Talent is a 
to god. debt of obligation. He is no longer on earth as 
man, but His command still endures, " Go . . . 
heal . . . preach." The withdrawal of miraculous 
cures is no better reason for ceasing the work of healing 
which He began than is the disappearance of miraculous 
gifts of tongues a reason for ceasing to study language in 
order to preach the Gospel of the Kingdom of Heaven. 

God is no longer manifested in human form, going in 
and out among our sick ones. The hand of Christ is no 
longer laid on the fevered brow ; it is for your hand to do 
that now and to reduce the fever by all the means within 
your power. His touch of the sightless eyeballs does not to- 
day restore vision. He has commissioned you to do that 
with your cataract needle and to be a light to the inly 
blind., showing forth the Father that He may be glorified 
in your good works. The summer evenings when the 
sick could be gathered at the door for the Master to heal 
have sped away from the world's Capernaums ; He is 
seeking for representatives to-day who shall go in 
Christ's stead and do His healing work, beseeching men 
to be reconciled to Him. His wondrous works were to- 
kens of superior knowledge and power. He has given 
the key of knowledge and power to us to acquire by dili- 
gent study. Is not the power with which He entrusts us 
even greater than that of the early disciples whose work 
was but for a few years and was local and limited in its 
operation ? 

GOD NEEDS YOU. Eighteen hundred years ago 
He said, " Go ye into all the world and preach the Gospel 
to the whole creation . . . and these signs shall fol- 
low . . . they shall lay their hands on the sick and 
they shall recover." 

To-day, half the world has never heard those good 
tidings. He has given to medical men a talent of singu- 
lar power for proclaiming that message. What are we 
doing with it? 

The benefits of Medical Missions as a 

Re&urts ot Medical pioneer agency have proved themselves 

Missions— as a so great as to form an argument for the 

Pioneer Agent. immediate and widespread increase of 

this method of work. Time and again 



4 o 



The Healing of the Nations 



'doors fast closed against the ordinary missionary have 
been gladly opened to the healer-preacher. Twice had 
the Church Missionary Society tried to enter Kashmir; 
and twice had they failed. Then Elmslie was sent 
as a Medical Missionary. His splendid services as a 
surgeon gradually broke down prejudices and now for 
many years there has been a most successful missionary 
station in that province. 

A few years ago Dr. MacKinnon was trying to secure 
ground for a hospital in Damascus. The fanatical Mos- 
lem population of the city opposed his claims. Just at 
this time " a judge in one'of the law courts of Damascus 
came in hot haste to the house of Dr. MacKinnon and be- 
sought him to rush off at once to the abode of the Chief 
Cadi. ' What is wrong? ' said the English hakim. ' Have 
pitv and come at once ! ' was the eager response ; ' The Ca- 
di's little boy, so dearly loved, is very, very ill/ The doc- 
tor went and was promptly shown in. The inmates were 
in great alarm; dread and disquietude were everywhere 
apparent. Ushered into the sick chamber, the English ha- 
kim saw a child of three years, livid and well nigh pulse- 
less. A glance at the child, a glance around and the diagno- 
sis is made— opium poisoning. Then and there began a 
struggle with death. For full two hours he fought and 
wrought, stimulating the dying boy and keeping up con- 
stant artificial respiration. A hard and anxious fight 
it was. but in the end death was routed. Slowly the flick- 
ering signs of life grew stronger and steadier, until at 
last anxiety began to lose itself in gratitude and in praise 
to God. With words of heartfelt thanks the powerful 
Cadi embraced the foreigner, declaring that through life 
he is his debtor." The result of all this was that the 
Cadi, who was chief presiding officer of the court, be- 
gan to display a new interest in the pending lawsuit, and 
did his best to push the case rapidly through and see that 
justice was done to the missionary. The tide of feeling 
among the people quite turned in favor of the doctor, and 
they paid him the unusual compliment of rising from 
their seats the next time he entered the law court. 

Dr. Nevius says that he was at one time trying to es- 
tablish a station in an interior city of China and was find- 



Value of Medical Missions 41 

ing great difficulty because of the prejudice and supersti- 
tion of the people. One day when speaking to a crowd a 
soldier forced his way up and addressed him very respect- 
fully, showing a deep scar on his cheek. He said that he 
had been severely wounded in battle and that in the hos- 
pital in Shanghai Dr. Lockhart had dressed and healed 
his wounds. Incidents like that do more to disarm sus- 
picion of the motives of missionary work than any other 
thing. 

At the risk of repeating an old story we quote the in- 
cident of Kenneth Mackenzie's pioneering work in one of 
the large Chinese cities.* " Tien-tsin furnishes a ro- 
mance in the history of medical missions. When Dr. J. 
Kenneth Mackenzie reached this city in March, 1879, 
everything looked dark for the medical mission. While 
at prayer with the native converts, a member of the Eng- 
lish Legation learned that the wife of the Viceroy was se- 
riously ill, the doctors having wholly despaired of her 
case. ' The Englishman entering an earnest plea for the 
foreign doctors, the Viceroy committed his wife's case to 
the care of Dr. Mackenzie, who was speedily summoned 
to the vice- regal palace, and in a few weeks Lady Li was 
quite well. Her treatment was followed by su^essful 
surgical operations in the presence of the Viceroy. The 
court was stirred and great public interest excited. The 
Viceroy agreed to pay the current expenses of both a hos- 
pital and dispensary when erected. In a short time a 
building was completed with wards for sixty patients, the 
Chinese themselves contributing the sum of $10,000." 

t " If you will try and realize the conditions of an East- 
ern city," writes the Doctor, " you will quickly under- 
stand that when a great potentate takes you by the hand 
the land is all before you. So we found that in our daily 
visits to our noble patient our steps were thronged with 
eager suppliants, who, hearing that the Viceroy's wife 
was undergoing medical treatment, sought for relief from 
the same source. You know how a story often grows as 
it spreads, and so this case of cure was being magnified 
into a miracle of healing. A Chinese official residence is 

* Encyclopedia of Missions. 1891. Vol. II , p. 52, 
■f- Biography J. K. Magken?ie, p. 180, 



42 T)ie Healing of the Nations 

composed of numerous quadrangles, one behind the other, 
with buildings and gateways surrounding each. To reach 
the family apartments we had to pass through these nu- 
merous courts and here we were beset with patients from 
the crowds assembled outside the gates, and the friends 
of soldiers, doorkeepers, secretaries and attendants who 
had succeeded in gaining an entrance. The poor also be- 
sieged us as we entered and left the yamen. It was truly 
a strange gathering we found daily collected round the 
outer gates — the halt, the blind and the deaf were all 
there waiting to be healed ; indeed, the whole city seemed 
to be moved. High officials sought introductions to us 
through the Viceroy himself." 

During Lady Li's illness, Miss L. H. Howard, M. D., 
an American missionary, was installed in a suite of rooms 
in the official residence adjoining her ladyship's apart- 
ments. It is inconceivable that any other form of mis- 
sionary agency could have produced such an impression 
in so short a time as to make these procedures possible. 

The Hon. John W. Foster, ex-Secretary of State, 
says : "A special feature in the mission work of the world, 
to which great enlargement has been given in late years, 
is the Medical Missionary. We found that in China, 
where the science of surgery is almost unknown, they 
were proving a most helpful adjunct of the work, a door 
of access to the people not otherwise reached, a ready 
means of overcoming prejudice and opposition. I am 
pleased to bear hearty testimony to the scientific attain- 
ments and the Christian zeal of the male and female work- 
ers in this department and to commend the field as one 
which can never be overcrowded by the Church at home." 

Several years ago, Dr. Valentine settled down at work 
as a medical missionary in an Indian city. God laid His 
strong hand upon him in a serious illness — a hand which 
has so often been laid upon His servants to lead them 
forth into a larger life and fuller, more influential service. 
Valentine had been recommended to go to the great snowy 
Himalayas for change and rest. Mountains, especially 
snow-clad ones, are Nature's rejuvenators, even in expec- 
tation and in memory. On his way he passed through 
Jeypore and paid a formal call on the Maharajah, " The 



Value of Medical Missions 43 

Maharajah told him that his wife, the Maharanee, was 
very ill, and that the native physicians had given her up. 
Dr. Valentine said that he would be glad to see her and 
do what he could for her. The way was opened up. The 
Maharajah was pleased and arranged, difficult as it is to 
gain access to the women there, that Dr. Valentine should 
visit the Ranee. . . . The result was that through 
God's blessing upon Dr. Valentine's treatment the 
Maharanee was restored to health. The Mahara- 
jah said, 'What can I do for you?' He replied, 
' Let me preach the Gospel here.' The Maharajah said, 
' If you will stay here and be my private physician, I shall 
be glad.' Dr. Valentine rejoined, ' But I am a missionary 
of the Gospel.' (Xo missionary had previously been al- 
lowed to settle in Jeypore, that great stronghold of idola- 
try, perhaps one of the greatest strongholds in Northern 
India.) The Maharajah asked, ' But you will be my pri- 
vate physician, will you not ? ' He replied, ' Yes, but only 
upon one condition, that you will allow me to preach the 
Gospel from one end of the province to the other without 
let or hindrance.' The Maharajah agreed and Dr. Val- 
entine remained at Jeypore for fourteen years." 

" The Medical Missionary has often been able to 
penetrate out-of-the-way places, places where religious 
opposition has been most severe and race barriers most 
formidable, districts where the severity of the climate has 
made it unsafe for any but the medical missionary to en- 
ter. With his healing mission as his defense, and the 
Word of God as his weapon, the medical missionary has 
been able to safely traverse tracts of country never before 
trod by Christian feet. In districts once visited his re- 
turn is eagerly looked for. And in the train of his pio- 
neering labors other forms of mission work beside his 
own have been duly inaugurated. For his sake other 
missionaries are not only tolerated, but frequently wel- 
comed. The physician's presence has not only saved the 
precious lives of other missionaries, but has often made 
the continuance of a station possible, when, otherwise, 
abandonment would have been inevitable. ... It is, 
moreover, a fact that not only have individuals been ap- 
proached, homes entered, stations occupied and districts 



44 



The Healing of the Nations 



prepared by the medical missionary which apparently 
could not have been effected by any other class of work- 
ers, but whole countries have been opened up to the Gos- 
pel' bv the elemental labors of missionary physicians."* 

It has been said that " China was opened to the Gospel 
at the point of the lancet " by Dr. Peter Parker. Dr. Al- 
len, an American medical missionary, was the first Prot- 
estant foreigner to reside permanently in Korea. He was 
ultimately put in charge of a hospital built for him by the 
King of Korea, and later he was one of a Korean Em- 
bassy to the United States Government at Washington, 

Formosa was opened up largely by the work of medi- 
cal missionaries. Dr. G. L. Mackay, of the Canadian 
Presbyterian Mission, was the pioneer missionary to 
North Formosa, and the first to build a hospital there. At 
the outset he had almost to compel his patients to come 
to him. During fourteen years of service he extracted 
21,000 teeth in his hospital and on tours, and by this sim- 
ple operation he has won his way to the hearts of thou- 
sands of people. 

Siam is another illustration of a country opened up 
to mission work largely through the influence of the 
missionary physicians, Drs. Giitzlaff, Bradley and House 
being the pioneers. In Japan, during the inception of 
missionarv work, fields outside of the open ports were 
opened and held by the establishment of dispensaries by 
medical missionaries. At the centres where medical work 
was carried on, it broke down the prejudices and opposi- 
tion of religious teaching and opened the way for general 
evangelical work. 

Similarly in the Turkish Empire. Persia, Arabia, and 
throughout 'the length and breadth of the great Dark Con- 
tinent of Africa have medical missionaries been used of 
God in preparing the way for the coming of His King- 
dom. There are certain fields of missionary endeavor 
where Medical Missions appear destined to exert a pecu- 
liarly powerful influence. This would seem to be espe- 
cially true in Muhammedan countries. The comparative 
neglect of the strongholds of Islam has been one of the 
darkest shadows resting upon missionary polity. The 

*The Medical Mission. W. J. Wanless. Chap. VI., p. 47. 



Value of Medical Missions 45 

difficulties of such work are enormous- Opposition has 
been fierce ; ignorance and fanatical bigotry have been 
encountered in their most belligerent forms. The evan- 
gelization of Muhammedan people has been called the 
Gibraltar of Heathendom, the impregnable rock against 
which Christianity has seemed to make little progress. 
Any plan of operations professing to be specially adapted 
to overthrow these great and allied forces deserves most 
earnest consideration. Medical Missions claim to constitute 
such a plan. At Busreh, Arabia, Dr. Worrell treated 
nearly 1,000 Moslems during 1897, and by this means the 
Gospel was proclaimed to hundreds, scarcely one of whom, 
but for the medical work, would have come within sound 
of the good tidings of salvation. 

Similar testimony comes from Ispahan, Persia, West 
Africa, Egypt, Palestine, and Kashmir. " No student of 
Medical Missions will challenge the statement that Med- 
ical Missions are the most important manifestation at the 
present time in the whole world of the practical spirit of 
Christianity." It is this essentially practical character 
which appeals to the feelings of those whose hearts are- 
case-hardened against the impact of doctrine. It is the: 
sesame which opens the heart when the keys of persua- 
sion, argument, invitation and education have failed to> 
move the bolt. The medical missionary has not to go out 
and seek the indifferent. They come to him of their own 
accord ; perhaps at first it is but for the material bene- 
fits which he can confer upon them, but this affords him 
a splendid theatre of demonstrating Christianity in action, 
which, followed up by teaching, rapidly breaks down 
bigotry and makes the patient realize in the physician a 
fellow man who has a higher, deeper and sweeter motive 
in life than any to which his creed has given him access. 

It has been stated that Dr. Mackenzie, of 
Results of. Medical Tien-tsin, was made instrumental in 
^"TiTn^"^ bringing more souls to Christ in one year 

ally Numerous and » t> m J m 

Far-reaching. than all the other members of the mission 
put together. We would not, however, 
stake the reputation of Medical Missions on any such sta- 
tistical ratio of conversions compared with those due to 
Other forms of work. If the results were tabulated, it. 



46 The Healing of the Nations 

would probably be found that Medical Missions were able 
to show a smaller proportion of conversions than other 
lines of missionary activity. When one remembers how 
many seemed to come to Christ, seeking only that their 
lameness might be healed, or their leprosy cleansed, and 
caring little or nothing for His invitation, " Take My 
yoke upon you and learn of Me," we are not surprised if 
the same be true with His followers. 

•'Yet it was well, and Thou hast said in season, 
' As is the Master shall the servant be.' 
Let me not subtly slide into the treason 

Seeking an honor which they gave not Thee." 

We believe that if the results were but one-tenth of 
what they are, they would still be worth having because 
the prosecution of such work is a magnificent object-les- 
son. Many of these children, standing in shadow, in spir- 
itual intelligence, will appreciate better the spectacular 
tableaux vivantes of Christian love than a closely reasoned 
thesis on the subject. 

But the results of medical evangelism are by no 
means small. They are both numerous and far-reaching. 
The Bishop of Victoria, Hong Kong, who has been con- 
nected with the diocese twenty-two years, says, " I have 
known convert after convert in our hospital at Ningpo, 
and I can certainly point most distinctly to three churches 
which have been born in it." The first convert of that 
hospital was an opium smoker, who came to be cured. He 
asked that an evangelist might be sent to his own home in 
a distant city. One was sent and two years later thirty- 
seven converts were baptized through the work of the 
hospital patient and the native preacher. Now there is 
a strong church of 700 baptized believers. 

One of the medical missionaries of the London Mis- 
sion at Amoy, China, states that 1,200 to 1,400 towns and 
villages are yearly represented at the hospital. As a 
result of the cure of one man seventeen years ago, no less 
than seven Christian congregations have been formed, 
with a membership of from thirty to one hundred in each. 
Dr. Gillison told the author of seven men coming to his 
hospital at Hankow from a distance of 320 miles. He 
operated for cataract on the eye of one man and restored 



Value of Medical Missions 47 

the sight. He said he would do the same for the other 
eye in three months' time. Gillison forgot about the 
case, but three months after the man returned with forty- 
seven others ! 

In reply to inquiries in a Chinese city, one well-known 
worker says : " Nearly all admitted to the church in this 
city have been brought in through the hospital." An- 
other estimates that " one-third of the membership is the 
result of the influence of hospital work." Another writes, 
" The majority of those who have been admitted here to 
our church were from the hospital." A writer in the 
Church Missionary Intelligencer says: "I will mention 
one thing that I learned in talking with the American mis- 
sionaries. They told me — several, if not all of them — 
that they scarcely ever met with a person interested in 
Christianity, or a Christian inquirer, in the villages within 
a radius of 150 miles from Hang-chow who had not been 
brought to be interested and to inquire through the 
means . . . of . . . teaching in hospital." The 
twenty-second annual report of the Mission to Lepers in 
India and the East mentions that more than 200 lepers 
had confessed Christ. There are now over 1,000 profess- 
ing Christians in these leper asylums. 

In China a missionary physician successfully operated 
on the eyes of a parent and her two daughters. The 
mother had never gazed into the faces of her children be- 
fore, and her delight and gratitude knew no bounds. The 
light shone in further and deeper than mere visual per- 
ception and revealed to her and her daughters the sight of 
the Lord Jesus standing over them as the One Who had 
died to save and redeem. Father and mother and both 
girls were converted and through their influence a suc- 
cessful little church of a hundred persons now meets for 
worship in their village. 

And the influence of Medical Missions is far-reaching 
in more than a geographical sense. " Now I hold," wrote 
a Chinese missionary, " that of the thirty thousand who 
have passed through our wards and whose homes are 
scattered over an area three or four times larger than Eng- 
land, everyone may be taken as a centre of influence more 
or less favorable to Western thought and Western men, 



48 The Healing of the Nations 

and so to the messengers of Christ, and thus by the work 
done at our . . . hospital we are preparing the way 
for future conversions on a pentecostal scale." 

Many definite spiritual results must ever be unknown. 
This is naturally the case when the attraction of medical 
aid draws patients from far-away places to which they 
return when cured, and are often lost to subsequent ob- 
servation. The germinating power of this seed, sown in 
uncongenial soil away from Christian help and sympathy, 
is constantly filling those on the field with praise. 

Some years ago a mandarin who had lost his nose pre- 
sented himself before a medical missionary. He had 
heard of the high repute of the foreign physician and he 
wanted to test it by getting him to make him a new nose. 
Other surgeons had been asked, but all were too busy 
with more important duties. At length he reached this 
hospital, 1,000 miles from home. The doctor took him in 
for three months and then he went away with what he 
came for — a new nose. " It was not a very handsome 
one," says the doctor, " but was a nose, made of his own 
flesh and blood. He said I had made him a foreigner's 
nose instead of a Chinaman's, but he was so proud of it, 
nevertheless, that he carried a little mirror in his sleeve, 
and was continually looking at this new facial ornament. 
This gentleman took away from our hospital also some- 
thing which he did not come for — a more or less extensive 
knowledge of the Gospel . . . and while in the hos- 
pital had read the New Testament through and through. 
But he read it only that he might argue against it, and 
when he left us was so bitterly opposed to Christianity 
that I put him down in my notebook as ' a surgical suc- 
cess, but an evangelical failure.' That entry I must now 
confess was a record of lack of faith in me. I ought to 
have known that so much Gospel truth was not likely to 
lie dormant in that man's heart, and it did not. Last year 
the news reached me that in his distant home that gentle- 
man had gone to the missionary, professed his faith in 
Jesus and had been received by baptism into the Christian 
Church."' Doubtless, in scores and hundreds of villages 
in India, China and elsewhere there are similar cases. 
Surely, surely, the results of Medical Missions are spiritu- 
ally numerous and far-reaching ! 



INFLUENCE OF MEDICAL MISSIONS 



" Religion has ever been the saving force in human history. How 
otherwise can we explain the moral helplessness and social decay of 
humanity, as a universal rule, up to the present hour, wherever the 
spiritual inspiration and the ethical force of religion have been absent ? 
Left to itself, society seems to be self-destructive and to have no remedy 
within its own resources. ' ' 

— James S. Dennis, D.D. 

11 Sacrifice is the language of love. Those who do not sacrifice are 
like men living on the top of gold mines, or sailing across beds of pearl 
oysters, unconscious of the riches within their very rea h. It is no sacri- 
fice to give a cup of cold water when a cup of something better is within 
reach." 

— War Cry. 

" I thought these men will carry hence 
Promptings their former life above, 
And something of a finer reverence 
For beauty, truth and love." 

— James Russell Lowell, 

u In effecting any radical changes of this kind, doubtless there would 
be great inconvenience and loss incurred by ai' the originators of the 
movement. That which can be done with perfect convenience and with- 
out loss is not always the thing that most needs to be done, or which we 
are imperatively required to do. ' ' 

— John Ruskin. 



5° 



IV 

INFLUENCE OF MEDICAL MISSIONS 

The work of medical missionaries not 

Results Abide in only touches the tenderest side of man, 

Memory and win but they impress his memory and abide in 

Gratitude. his thoughts more persistently than words 

which he hears. The kindly forethought 
and patient attention of some friend to us when we were 
ill cannot be effaced from the pages of remembrance even 
when all his words have been forgotten. 

Sickness is a Valley of Humiliation ; there is little sub- 
limity in the sick-room; it is suggestive of helplessness. 
Men feel when prostrated by illness much like Napoleon 
returning baffled from Moscow — " God Almighty has been 
too much for me." The stronger and more active the life 
has been in the past in succoring others, the more keenly 
does it feel the humiliation of being served. Much of this 
feeling is a healthy manifestation of dislike for all that is 
frail and maimed and decrepit. In nature we see this 
strong bias acting beneficially in the evolution of the race, 
by placing an embargo upon all that is weak and unfitted 
for life's strain and struggle. One of the wonders of 
Christianity has been the transformation of this weakness 
into might of character; this humiliation of body into 
spiritual triumph. 

The sickly sentimentality of a generation ago, which 
made it appear that beauty of soul was only attained 
through weakness- of body, and that made all good chil- 
dren die young after protracted illnesses, was but a para- 
site and parody foisted upon the true parable of pain. 
Character, robust, resourceful and ready for active serv- 
ice, is still formed in the rough battleground of life, where 
strength meets strength and grapples for the victory. But 
the service Christianity has rendered is to show that there 
are other schools of character, and that the product of 

5 1 



52 The Healing of the Nations 

such teaching as pain and sickness may be no less noble 
and forceful in uplifting power than that produced in the 
roar of the busy mart or amid the rattle of shot and shell. 

The Christian faith, therefore, has a message of cour- 
age and hope to bring to the sick-bed and the very nature 
of illness makes the sufferer especially ready to receive it. 
Life wears a busy aspect to the poor of these countries 
where so little is earned by such great labor. Many feel 
that they have not time to look into the matter of this for- 
eigner's religion ; they are not specially interested in it. 
To others of official class or high birth, the thought of 
social degradation is enough to keep them from close in- 
quiry. Even if they listen in a bazar or a preaching hall, 
enough is not gleaned to enable them to fully understand 
the purport of the message. But overtaken by accident 
or sickness, either class may be ready then to surrender 
prejudices for the sake of the physical benefits which they 
know the foreign doctor can bestow. Lying week after 
week in hospital, knowledge of the doctrine deepens and 
gratitude awakes. This gratitude is often most touching 
and is exhibited years after the patient has left hospital. 

Dr. Douthwaite, of Chefoo, relates that when leaving 
the city the general in command, with his officers, came 
with a regiment of soldiers and lined up before the hos- 
pital. On going out to them they dropped on their knees 
and stayed there while one of their number addressed the 
doctor, thanking him for his services. The Emperor of 
China showed his appreciation of the medical missiona- 
ries' work during the recent war by conferring on sev- 
eral of them the Order of the Double Dragon. 

" The father, whose only child, a beautiful daughter, 
had a tumor of seven pounds weight removed from her 
back, after she was discharged well, returned with a scroll 
bearing a poetical inscription to the physician to this ef- 
fect : 'A grievous disease had entwined itself around my 
little daughter ; I had gone in various directions, seeking 
for physicians of distinction, and had expended much 
money upon them in vain. When I heard of the foreign 
physician in the provincial city, I took my little daughter 
by the hand, and repaired to his residence with the speed 
of a courser. He received and treated my daughter, re- 



Influence of Medical Missions 53 

moving the flaw from the gem, and now she is a perfect 
pearl again." 

Often a patient returns in gratitude to thank the mis- 
sion surgeon and has to be restrained from falling down 
and worshipping him. Some of these expressions of 
thanks, mingled as they are with heathenish ideas, are 
strong evidences of the influence of missionary medicine. 

A woman had come to a mission hospital for cataract. 
Not long after the operation had been performed, she was 
seen kneeling with bare knees upon a number of date 
stones on a brick bed. " Does it not pain you? " she was 
asked. " Yes," was the reply, " and that is why I am 
doing it. Since I came to this hospital you have tried to 
open my eyes, but you have also opened my heart. I have 
learned of Jesus' love for me. I am poor and aged and 
can do nothing for Him. Because He has suffered such in- 
finite pain for my sake, I thought to myself I would suf- 
fer a little, for Him." It was the idea of one just emerg- 
ing from heathenism, but had insight into the demands 
made upon her by so great love. 

" On one of my recent boat journeys," writes a mis- 
sionary, " I put in about dusk at the market town of 
Hwang-sz-Kang, and I had no sooner finished preaching 
on shore than a man rushed after me on to the boat, with 
hands full of peaches, which he pressed me to accept. I 
told him I was not aware that I had done anything to 
warrant my taking them, but he would hear of no refusal. 
' You are from Hankow, are you not ? ' ' Yes,' I replied. 
' Well, you will probably not remember me, but a few 
years ago I went up to your hospital there, very ill indeed, 
and had it not been for Dr. Mackenzie I certainly should 
not have lived. And not only so, but when all my money 
was exhausted, he supported me for a whole month and 
both he and the native assistants treated me with so much 
kindness that, when I saw you here, knowing as I did that 
you must be connected with the mission, I thought the 
least that I could do was to give you some slight acknowl- 
edgment of the kindness shown me at Hankow. I am 
but a poor man, a huckster, and in a very small way, but 
I shall be only too glad if you will accept these peaches.' 
And feeling hardly satisfied with this expression of grati- 



54 The Healing of the Nations 

tude % though a very poor man, he brought later in the 
evening a further present of peaches and sweetmeats, to 
show how grateful he was for the kindness he had re- 
ceived." We think that the perfume of that fruit must 
have been exceeding fragrant and the taste very sweet to 
the missionary. When some heaven-born artist 

" Shall draw the thing as he sees it 
For the God of Things As They Are." 

this will be one of the delicate miniatures of loving life 
to hang beside the picture of the woman with the alabaster 
box. That canvas, like the other, will hold high place in 
the gallery of the House Beautiful. 

The Chinese used to say of Dr. Fred. Roberts that 
they never saw any one so like the Lord Jesus. " If we 
want,*' said Dr. Arthur Lankester, " to write the teaching 
of our Lord Jesus Christ in very big letters so that those 
who cannot read theology and do not understand science 
or philosophy can read it very easily, the best way of do- 
ing it, whether it be for an individual, a village, a town, a 
district, or a nation, is to start medical aid for the poor." 

We may take the Bible to a heathen and he may burn 
it or throw it aside. Civilization and education may only 
turn him from heathenism into an infidel or materialist. 
It may be hard to convince him that you are not preach- 
ing for the sake of a salary. But let that man come to 
you in bodily distress and be relieved and cured, and he 
will learn to love you and be grateful and that is often but 
the first step to loving the Saviour Who commissioned you 
in this work. 

The return of the one leper must have rejoiced the 
Master's heart, when, depressed by the heedless ingrati- 
tude of the other nine who left Him unthanked for the 
work He had wrought. Similar gratitude was recently 
expressed by some like afflicted ones in the following 
touching words :* " To Our Most Honorable Friends and 
Supporters : We, the men and women of the Leper Asy- 
lum at Purulia, send you a thousand thanks. We are 
well in body so far as may be expected, though some of us 
suffer great bodily pains, which have been mitigated, how- 

* The Double Cross and Medical Missionary Record, April, 1806. p. 77. 



Influence of Medical Missions 55 

ever, by the kindness you have shown us so continually. 
We have now good houses to dwell in, tanks to bathe and 
wash in, wells for giving us drinking water, and a doctor 
and medicines to heal our ulcers. We have teachers and 
pastors who instruct, guide and comfort us. All these 
advantages we owe, next to God, to you, our benefactors 
and friends. Our nearest relatives have abandoned and 
forsaken us, and there is no place left for us on earth 
where we could rest and stay without molestation. Peo- 
ple seeing us from a distance, shouted, ' Begone ! Be- 
gone ! ' Ah, that was hard ! " We wonder how many of 
ourselves in like condition would be in such a grateful 
mood as these lepers. We are reminded of what we think 
was a sentence in one of Charles Lamb's letters in which 
he thus concludes in substance : " I am just recovering 
from pneumonia, and am suffering a good deal with rheu- 
matism and asthma, and have gout ; otherwise, I am very 
well ! " 

The bye-products of some mines have 
The Broader influence become as valuable as the very ore for 
of riedicai Missions, which the mines were opened. The re- 
sults of Medical Missions, unplanned 
and quite unpremeditated, have astonished many who 
have no interest in the extension of the Kingdom of God, 
as such. Though the salvation of souls must and shall 
ever be the cap sheaf and the keystone of Medical Mis- 
sions, yet these sub-influences are not thereby ruled out 
of court as unimportant. " In the nature of the case," 
said Sir W r illiam Acland, " Medicine has relation to every 
individual of the human race in whatever climate, in what- 
ever state of social organization or disorganization ; of 
whatever religion ; whether in peace or at war." Mission- 
ary Medicine has not exhausted its influence when it has 
healed the sick one and brought him to know the Christ 
Who for us men came down to die and Who ever liveth to 
make intercession. It reaches round and exerts its power 
on a larger world than that gathered in the hospital wait- 
ing room. It pioneers education, it stimulates scientific 
methods ; it inculcates sanitary principles and introduces 
plague precautions and deals with epidemics. Again and 
again it becomes of political importance; its weight is 



56 The Healing of the Nations 

thrown on the side of benevolent undertakings ; while all 
the time it is raising in estimation the value of human life 
and the sacredness of womanhood. These are stars of 
the first magnitude, which shine brightly in the firma- 
ment of Christian wSociology. 

Medical Mission work destroys caste. In the waiting 
room of a dispensary may often be seen sitting side by 
side the Brahmin, Sudra and Shanar, the Pulayer and Pa- 
riah, the devil worshipper, the worshipper of Siva, the 
Muhammedan, the Roman Catholic and Protestant, both 
men and women of all castes and creeds. 

A year or two ago The Independent gave an account 
of a concert successfully organized by the United States 
Minister at Teheran for the benefit of the Presbyterian 
Medical Mission in that city. The support accorded it 
was an interesting testimony of the way such a mission 
appeals to wider humanity. The Diplomatic Corps and a 
large number of Persian officials gave their hearty sup- 
port, and when a subscription list was started it was 
headed by the Prime Minister and was contributed to by 
every Persian official at the capital as well as the entire 
European colony, including Russians and Turks. The 
concert was so successful that the Shah himself requested 
it to be repeated at the palace and personally received his 
guests. 

A brilliant writer in the *Daily Telegraph says : " I 
have always acted on the theory that the persons who 
know most of the social conditions of any people are the 
doctors and the clergy. The one class see the shadier 
and the other the brighter side of humanity, but both 
go down to the depths. . . . Above all is it the case 
where you have medico and parson combined. . . . 
There may be better ways of promoting humanity and civ- 
ilization ; if so, one would like to see them at work. . . . 
It may be allowed to count in our estimate that once a 
week a few hundred thousands of these people are with- 
drawn from Sundayless, unresting toil ; that they are 
taught a higher morality and a nobler theology ; that a 
ray of brightness now and then is thrown over their lot, 
and lives no longer demon-haunted are made happier. At 

*£>aity Telegraph, London, England, July 25, 1898. 



Influence of Medical Missions 57 

any rate, it is safe to say that without the Christian mis- 
sions there would not exist one single hospital throughout 
the length and breadth of China. That, at least, may pass 
for something." 

Many will enthusiastically admit the value of med- 
ical work, altogether apart from its religious motive 
and purpose. Dr. Coltman relates that when com- 
ing across the Pacific he was conversing with a fellow- 
passenger who professed to be an atheist. " Well, I can 
see the good of medical work among the Chinese or any 
other race who have no scientific treatment of disease. 
It is humanitarian, and as such I would subscribe to it." 
It was this humanitarian spirit in women medical mis- 
sionaries which helped to create sentiment in India lead- 
ing to the modification of the marriage laws. " Such reve- 
lations of inhumanity connected with child marriages were 
brought to light that one of the physicians connected with 
the Methodist Church drew up a petition which was 
signed by fifty-five women physicians and presented to 
the Government, pleading that the marriageable age of 
girls be raised to fourteen years. While the Government 
was flooded with petitions and memorials from native 
Christians, Hindu women and missionaries, it is stated 
that nearly all the speakers in the Legislative Council re- 
ferred to the facts presented in this memorial." Dr. 
James Martineau says : " There is not a secular reform in 
the whole development of modern civilization, which, if it 
is more than mechanical, has not drawn its inspiration 
from a religious principle. Infirmaries for the body have 
sprung out of duty for the soul ; schools for the letter, 
that free way may be opened for the spirit ; sanitary laws, 
that the diviner elements in human nature may not be- 
come hopeless from their foul environment." 

Many hospitals and dispensaries are 

incentive to training colleges for theoretical and prac- 

Higher Education, tical instruction in Western medicine. 

Thus an opportunity is afforded of bring- 
ing the brightest native Christians into a sphere of influ- 
ence for benefiting future generations. The work that 
has been done in these directions is astonishing to any 



58 The Healing of the Nations 

who have acquaintance with the full curriculum and strin- 
gent requirements set forth by the missionary teachers. 

The plan adopted in most cases is to take in a number 
of young men at a time for a four or five years' curricu- 
lum and to receive no others till their course is completed. 
This makes it possible for the busy missionary physicians 
to take up with all the students at once the subjects requi- 
site for the first year ; then to pass to second year subjects, 
and so on. Dr.* Dugald Christie, of Moukden, Manchu- 
ria, began such work single handed with six students for 
a five "years' course, and testifies that these young men 
have given great satisfaction and promise to become use- 
ful workers in the Master's vineyard. Similar work was 
carried out in Madagascar a few years ago. More than 
one regular college now exists in India for giving like in- 
struction in medicine as a preparation for missionary serv- 
ice. 

The course in Beirut Medical School is on a regularly 
graded system. It lasts four years. A preliminary ex- 
amination in English is required. The course is very 
thorough and has reacted on the whole system of medical 
education in the land and advanced the standard of med- 
ical learning. Dr. Valentine, of India, has been enabled 
to originate several institutions for the educational im- 
provement of the people, such as a school of art, a library, 
philosophical institute, museum, as well as examining in 
government schools and publishing much literature. Be- 
fore the first woman missionary physician had left Amer- 
ica for India, Dr. Humphrey had begun training a few 
young women in Medicine. Now there is a well equipped 
School of Medicine for native Christian women there. 

" Medical work has been a spur to the 

An uplifting Power higher education of women. It has given 

to womanhood woman a higher ideal of life, for every 

one treated in a hospital learns something 
of cleanliness and care of the sick, and carries away a 
treasure of new ideas which cannot fail to bring comfort 
and health to cheerless homes." 

The fact that attention is paid to suffering women by 
medical missionaries is already changing the prevalent 
ideas as to the inferiority and worthlessness of their lives. 



Influence of Medical Missions 59 

The seeds arc thus being sown for a new harvest of chiv- 
alry and reverence toward womankind. The position 
which medical work holds can hardly be better stated than 
by the words of a high caste Hindu, who when asked as to 
the method most likely to convert their people, answered : 
" We do not fear the usual method of mission work, such 
as the school, printing-presses and bazar preaching, but 
we do fear your lady zenana worker, and we dread your 
lady doctors ; they enter our homes, win the hearts of our 
women, threatening the foundation of our religion." The 
sociological significance of the single fact that Medical 
Missions raises the value of human life and elevates the 
position of women in society can hardly be overestimated. 
These two moral conceptions alone, enforced by Christian 
practice, are sufficient to transform the whole social fabric 
of non-Christian lands. 

Scientific Medicine has had its traditions 

Contributions maintained by the work done by medical mis- 

to Science, sionaries. These labors have been another 

factor of sociological importance. *Rev. W. 
A. P. Martin, President of the Imperial University in Pe- 
king, said that it was not easy to estimate the value of the 
books prepared by missionary physicians or to enumerate 
the scientific and other periodicals to which missionaries 
contributed. There was such a growing demand for 
scientific books that he could not spend a night in an inte- 
rior city without being applied to by some of the best citi- 
zens to furnish them. 

A large number of medical works have been written 
or translated by these missionaries. Dr. S. F. Green 
wrote thirty-two treatises in Tamil, including a volume on 
Obstetrics of 258 pages, a five-hundred-page manual of 
Surgery, still larger books on Anatomy, Physiology and 
Practice of Medicine, Eye Diseases, and several for popu- 
lar use by mothers, etc. 

Missionary doctors have sent home valuable speci- 
mens, illustrating medical botany, and twe believe that we 
are correct in stating that the supplies of snake poisons 

* Missions and Science, p. 415. 

tUp to date of publication the author has been unable to obtain absolute verification 
of this statement. 



60 The Healing of the Nations 

on which were based the experiments resulting in the 
manufacture of anti-venene were obtained through medi- 
cal missionaries. 

Cases which are rare and unusual in the home-coun- 
try are often quite commonly met with in mission dispen- 
saries and the missionary in love with his profession has 
an opportunity for enriching its knowledge, which is lim- 
ited only by the leisure possible to give to such work. The 
missionary doctors are a power for civilization because of 
the information which they impart. The Chinese, for in- 
stance, are great quizzers, and the information imparted 
by conversation about means and methods used in West- 
ern lands must have an educational influence of no small 
importance.* 

The service rendered to geography by missionaries 
has been a rich one, though in this case medical men, if Liv- 
ingstone's splendid record be excepted, have had but a mea- 
gre share in what has been mainly achieved by the patient 
labor of other missionaries. Mr. Colton, the famous map- 
maker, says that there is hardly an exploration in any land 
which does not acknowledge its indebtedness to missiona- 
ries. " Carl Ritter, the celebrated geographer, says he 
could not have written his great work but for the material 
furnished by missionaries." 

The very difficulties under which work has to be per- 
formed by medical missionaries have often been fertile in 
inventiveness, as, for instance, the use of charred straw in 
Japan, and dressings of impregnated sawdust in Kash- 
mir, as well as many clever instruments improvised from 
very simple materials. 

One of the most important hu- 
The Example Has stimulated mane efforts of the present cen- 
other Benevolent tury was directly due to the med- 

Undertakings. j ca i missionary work. In its far- 

reaching results the Lady Duf- 
ferin Fund in India promises to be one of the great 
charities of that or any other land, t " Its origin has all 
the elements of a touching romance. In Punna, a city 

* There are now medical journals published in India, China and Syria, and medical 
congresses have been held from time to time, 
t Indika, p. 454. 



Influence of Medical Missions 61 

about a hundred miles from Lucknow, there lives a native 
prince— the Maharajah. In 1881 his wife, the Maharani, 
was suffering from a serious and lingering disease. Her 
case was desperate. It is contrary to all tradition and 
propriety that a male physician should enter a zenana, or 
lady's chamber, and make such diagnosis as might secure 
intelligent treatment. Besides, no European physician, or 
indeed, any other Euporean, lived in Punna. The Prince 
had heard of Miss Beilby, a missionary physician, living 
in Lucknow, and he sent for her to attend his suffering 
wife. Miss Beilby not only responded to his imploring 
appeal, but remained with her patient for several weeks. 
The Rani was restored to health through the missionary's 
skill and care. Miss Beilby was soon to return to Eng- 
land ... to take her degree in a medical college. 
On the morning of her departure from Punna, she called 
at the palace to say good-bye to her distinguished patient. 
The Rani was deeply affected. She had a great burden 
on her heart, and,, dismissing all her ladies and attendants, 
said : ' You are going to England, and I want you to tell 
the Queen and Prince and Princess of Wales, and the men 
and women of England, what the women of India suffer 
when they are sick. Will you promise me? ' The Rani 
was emphatic in confining her wishes to one thing : med- 
ical help for the suffering women of her dear India. But 
she was not willing that Miss Beilby should intrust the 
message to any one else ; she must deliver it herself to the 
good Queen of England. Miss Beilby explained the great 
difficulty of seeing the Queen in person and could give the 
Rani little encouragement that this could be brought to 
pass. When the Rani observed her readiness to do what 
she could, she asked Miss Beilby to write down the mes- 
sage at once. ' Write it small, Doctor Miss Sahib, for I 
want to put it into a locket and you are to wear this locket 
around vour neck until you see our great Empress and 
give it to her yourself. You are not to send it through 
another: " 

The Queen granted an audience to Miss Beilby and 
took the little letter out of the locket and read it. She 
was deeply impressed. " We had no idea it was as bad as 
this. Something must be done for these poor creatures." 



62 The Healing of the Nations 

She sent a message of sympathy to the Rani and added : 
" We should wish it generally known that we sympathize 
with every effort made to relieve the suffering state of 
the women of India." Lord Dufferin was then just about 
to take up his duties of Governor-General for India. The 
Queen saw Lady Dufferin and impressed on her the im- 
portance of making efforts to bring medical assistance to 
India's suffering women. 

So successful were her efforts that a year ago it was* 
1 reported that there are eleven branches working under the 
central committee, that 103 hospitals and dispensaries offi- 
cered by women have been established, while in these hos- 
pitals, or in their own houses, 1,327,000 women received 
medical aid from women during 1897. Twenty-eight 
women, with British medical diplomas, seventy assistant 
surgeons and seventy hospital assistants are employed in 
the various zenana hospitals. The objects of the associa- 
tion are for the medical tuition and training of women as 
doctors, hospital assistants, nurses and midwives, the 
establishment of hospitals and dispensaries under the su- 
perintendence of women. The association is purely phil- 
anthropic, though not missionary in any other sense. A 
very large proportion, however, of the physicians, etc., 
have been drawn from Christian schools. The interest 
excited in this noble and compassionate work has been 
remarkable. Scholarships have been offered and funds 
subscribed by many who would be untouched by a purely 
religious undertaking. 

Other benevolent acts have been stimulated from the 
object lesson of Medical Missions. A few years ago a well- 
to-do Parsee gentleman gave$5o,ooo to build a hospital for 
women and children, t "An Indian woman placed at the 
disposal of the government $60,000 for carrying on 
women's medical work in the province of Bengal. An- 
other has donated $6,000 for the erection of a hospital for 
women." 

One of the results of Dr. Howard's attendance on Li 
Hung Chang's aged mother was a legacy left by her of 
$1,000, which is stated to be the first bequest of a Chinese 

* For these facts we are indebted to Dr. Jas. S. Dennis, 
t Women in Missions, p. 169. 



Influence of Medical Missions 63 

woman to Christian benevolence. Rev. Sidney Gulick, in 
his very thoughtful and suggestive book, " The Growth 
of the Kingdom of God/' writes : " So sweet and reasona- 
ble have these institutions and methods and principles 
been seen to be that all men praise and approve them. So 
important are many of them for the welfare of the com- 
munity, that even governments do not hesitate to contrib- 
ute public money for their establishment and support. Not 
only the governments of Christian lands, but those of 
non-Christian lands, have quickly caught the spirit and 
are following the examples set them. 

" Yet it still holds true that the great majority of those 
who give either their means, or especially themselves, to 
benevolent work among the poor and the wretched, the 
vile and the wicked, who established not only free hospi- 
tals for the sick, but rescue homes for the fallen, who la- 
bor not only for temporal and physical comfort, but also 
for.the mental, moral and social improvement and welfare 
of the lower and vicious classes of society, are earnest 
Christian men and women. Yet the wide sympathy and 
financial help in its support that this form of the Chris- 
tian's work and ideal find among non-Christians show 
how pervasive is the influence of Jesus, how far it has 
spread beyond the limit of those who profess to be His 
disciples." 



PREPARATION OF THE MEDICAL 
MISSIONARY 



'* It takes a soul 
To move a body ; it takes a high-souled man 
To move the masses even to a cleaner stye ; 
It takes the ideal to blow an inch inside 
The dust of the actual." 

" I spoke as I saw, 
I report as a man may of God's work — 

All's love, yet all's law. 
Now I lay down the judgeship He lent me, 

Each faculty tasked ; 
To perceive Him has gained an abyss 

Where a dewdrop was asked." 

—Rolt. Browning. 

Life may be spent or invested : may be seed corn or devoured." 

" He speaks not well who doth his time deplore, 
Naming it new and little and obscure, 
Ignoble and unfit for lofty deeds. 
All times were modern in the times of them, 
And this no more than others. 
Do thy part 

Here in the living day, as did the great 
Who made the days immortal ! ' ' 

—Richard Watson Gilder. 



60 



PREPARATION OF THE MEDICAL MISSIONARY 

The work of the lapidary is to enhance the reflecting 
power of the gem, and he is not content with polishing 
one side, but makes many facets so that from scores of 
angles the light breaks and burns. The Great Lapidary 
has made each precious stone in His treasury of amazing 
beauty from whichever side it is viewed. The piercing 
gleam from some facets near the setting is only seen on 
close inspection. The ministry of healing shines brightly 
upon us as we look at its spiritual service and tender win- 
someness of compassion. The light is reflected from its 
very apex and almost every beam is caught and sent back 
to us with its clear and holy gleam. But by and by, as we 
look closer, we see that the lower angles have a glory all 
their own, though perhaps not quite so brilliant as the 
apex. The educational influence, the stimulation of be- 
nevolent enterprises and even sanitary reforms— these are 
the facets sometimes almost hidden, but which reflect the 
light all the same, when placed in the right point of view. 

Every great life which has leaped out upon the world 
has taken generations to form. Every great national life 
has had back of it huge reservoirs of wise legislation and 
public spiritedness. It is no mean claim to make for 
Medical Missions that they have been instrumental in 
promoting a healthier — and therefore surely a holier — na- 
tional life in the countries where they have been working. 

It was said of Professor Owen that he could construct 
an entire skeleton from seeing a single bone of a prehis- 
toric animal. We venture to think that the estimation in 
which a government holds the lives of its people, as evi- 
denced by its care for the preservation of their health, pre- 
vention of disease and precautions against devastations by 
epidemics, might almost be taken as a rough gauge of the 

^7 



68 Ike Healing of the Nations 

position they hold in the world of Christian Sociology, 
and from these facts might be built up a skeleton of its 
national well-being. 

The field of influence is immense. 
The riedica! russJonary The countries in which medical mis- 
a Sanitary Reformer, sionaries are working are, almost with- 
out exception, devoid of proper sanita- 
tion or the desire to enforce precautionary methods when 
threatened by wholesale death through epidemic illnesses. 

A physician who has spent over twenty years in China 
says : " Their cities and towns are unspeakably filthy, 
many of their busy thoroughfares being but elongated 
cesspools. Every householder is at liberty to throw any 
kind of abominable refuse into the public street before 
his own door, and sanitary laws, if they exist, are neither 
understood nor enforced. The dwellings of the poor are 
minus everything that makes for comfort or conduces to 
health, and in times of sickness the condition of the suf- 
ferers, especially if they have the misfortune to be women, 
is extremely deplorable." " The nasal organs of the Chi- 
nese seem to be deficient in sensitiveness, and they en- 
dure with apparent impunity stenches that would make a 
European ill. Many of their rooms are dark and damp. 
The sewers in the cities are frequently foul, and often 
through superstitious notions are so constructed that the 
sewage collects in them instead of flowing off. Most of 
the villages in South China have pools into which all ref- 
use matter is cast." 

* " China is notorious for the entire neglect of proper 
sanitation. There is even a lively rivalry among its most 
important cities as to which deserves the prize for sur- 
passing filthiness. Peking, the capital, seems to be by no 
means an unworthy candidate for the highest laurels in 
the contest, and has even been pronounced by competent 
judges as the dirtiest city on the face of the globe. 'Above 
all characteristics of Peking,' says Mr. Norman, ' one 
thing stands out in horrible prominence. Not to mention 
it would be wilfully to omit the most striking feature of 
the place. I mean its filth. It is the most horribly and 

* Christian Missions and Social Progress. Dr. Jas. S. Dennis. Vol. I., p. 823. 



Preparation of the Medical Missionary 69 

indescribably filthy place that can be imagined; indeed, 
imagination must fall far short of the fact.' ' : 

*Dr. Theodore Duka, an Indian army surgeon, says : 
" It is almost needless to enter upon a description of the 
sanitation of an Indian village, for there is a total absence 
of it. The huts composing the villages and hamlets are 
erected for the most part on flat land or on slightly ele- 
vated ground, exposed to the scorching sun and fiery 
winds, or drenched by rain. The people drink from the 
pond in which they bathe and in which their cattle wal- 
low, surrounded by the refuse of their daily lives. The 
cattle consist of cows and buffaloes, occasionally of goats, 
donkeys and pigs. All live under the same roof and lie 
upon the ground beside their master and his family. 
There is hardly a window or an opening for ventilation." 

Moslem lands are equally wanting in common sanitary 
knowledge. The annual pilgrimage to Mecca by thou- 
sands of Muhammedans is a menace to the whole world's 
health. It has been stated that every cholera visitation in 
any land during recent years has been plainly traceable to 
Mecca as its source. The crowding of the pilgrims, the 
water used for drinking, and every other condition seems 
to present an almost perfect combination for spreading 
contagion. The superstitious fears which are entertained 
in these lands of anything like scientific investigation for 
the purpose of public health is well illustrated by a quo- 
tation from tThc Lancet: " The French Statistical De- 
partment, anxious to obtain definite information on'certain 
matters from Turkish provinces, sent lists of questions 
to which they requested replies, to the various provincial 
Pashas. Certain of the questions were addressed to the 
Pasha of Damascus, and his replies ran as follows : 

" Question : What is the death rate per thousand in 
your principal city ? 

" Answer : In Damascus it is the will of Allah that all 
must die ; some died old, some young. 

" Question : What is the annual number of births? 

"Answer : We don't know ; only God alone can say. 

* Quoted from Christian Missions and Social Progress. Dr. Jas, S. Dennis. Vol. 
I , p. 219, 220. 
f JuJy 16, 1898, 



7o The Healing of the Nations 

" Question : Are the supplies of drinking water suffi- 
cient and of good quality ? 

"Answer : From the remotest period no one has ever 
died of thirst. 

" Question : General remarks on the hygienic condi- 
tions of your city. 

"Answer: Since Allah sent us Muhammed, His 
prophet, to purge the world with fire and sword, there has 
been a vast improvement. But there still remains much 
to do. Everywhere is opportunity to help and to reform. 
And now, my lamb of the West, cease your questioning, 
which can do no good either to you or to any one else. 
Man should not bother himself about matters which con- 
cern only God. Salem Aleikum ! " 

The medical missionary stands in a position of pecu- 
liar importance toward these things. He possesses the 
requisite professional knowledge, and, moreover, what is 
equally important, he has the confidence of the people. Who 
can help so well or with such authority as the physician 
who is already held in high esteem for his work's sake? 
The single act of vaccination has been the means of pre- 
serving thousands of lives. In Korea it is estimated by 
the native faculty that about 50 per cent, of the deaths are 
caused by smallpox. The doctors at a single mission 
hospital in China are stated to have vaccinated 25,000 pa- 
tients in one year.* 

In many parts of the East where a desert touches a 
piece of fertile ground, the sand is constantly drifting 
and making barren much soil which is capable of produc- 
tiveness. Sometimes for a little while there is promise 
of fertility and then again comes the sand-drift, choking 
up life. But if there be some outjutting rock which will 
arrest the sand, then at last on the lee side of the rock 
there is a chance of some seed bringing forth a harvest of 
a hundred fold. The epidemics of disease in these lands 
are much like the sand blasts. They sweep across a land, 
stifling the life of helpless thousands and creating a sense 
of panic and fatalistic superstition. The missionary phy- 

* The remarkable success of vaccination in these countries, where in the majority of 
cases the insanitary conditions remain as before, is surely a striking commentary on the 
statement made by the opponents of vaccination that the reduced mortality from small- 
pox is due to merely improved sanitation. 



Preparation of the Aledical Missionary 7 i 

sician has been able again and again to arrest, in at least 
some measure, this drift and to stand " as an hiding place 
from the wind and a covert from the tempest, ... as 
the shadow of a great rock in a weary land." He has been 
able to instil confidence in place of fear and to secure the 
adoption of suitable measures for meeting the epidemic 
and preventing its spread. 

The comparative immunity of native Christians against 
such diseases as compared with other natives, was spe- 
cially noted in connection with the plague in India in 1898. 
Careful, regular, cleanly and right living demonstrated its 
influence over health in a most noticeable manner. 

The consideration of the high death rates in Oriental 
cities furnishes food for reflection. The annual mortality 
of infants and of women in labor is a call pathetic enough 
to stir our hearts as well as our brains. " Even in the City 
of Calcutta the infant death rate under one year of age in 
1894 was 402 per 1000 and in 1893 it was 415." (Chris- 
tian Missions and Social Progress. Dr. Jas. S. Dennis. 
Vol. I., page 220.) The death rate of infants under one 
year of age in the United States in census year ending 
May 31, 1890, was 225.9 P er IOO ° °f tota ^ deaths, or al- 
most half the proportion obtaining in Calcutta. 

" The mortality of London has been reduced to about 
20 per 1000 per annum. The mortality of most Oriental 
cities is over 45 per 1000, or more than double that of 
London." * 

Considering the vastly reduced mortality to-day of sur- 
gical operations and the safe character of ordinary obstet- 
ric procedures it is probable that modern medical science 
under favorable conditions could remove or prevent more 
than half of the disease and pain suffered by peoples of mis- 
sion lands. As they number more than half the popula- 
tion of the world, it will be seen what an immense burden 
of the world's physical woe might thus be lifted ! Oh ! 
for more men and women to stand and break the great 
drifts of sickness which blow from the deserts of disease ; 
for men and women who will be a shadow of a 
great rock to their brothers and sisters in a weary land, 

* Medical Missions at Home and Abroad. March, 1892. Page 86. See also SfU> 
dent Volunteer, Nov., 1895, p. 28. for interesting statistics, 



72 The Healing of the Nations 

who are scorched with the burning heat of fever and 
tossed by the tempests of pain ! 

The law of the Kingdom is that to whom 
Preparation of the much has been given, of him shall much 
Profession. be required. Noblesse oblige is true of 

princes in knowledge as well as princes in 
rank. To-day the responsibility of the profession is 
greater than on the day when organized foreign missionary 
enterprise had its beginning. The past century has 
wrought wonders in Medicine as well as in every other 
branch of science. 

In every age the instincts of brotherly love toward the 
sick made demands which could not be denied by the fol- 
lowers of the God of Love. There was a challenge as 
well as a gibe enshrined in Lucian's famous words con- 
cerning Christians. " Their Master," said he, " has per- 
suaded them that they are all brothers." This fraternal 
feeling was naturally manifested in an especial degree to- 
ward those who were sick and suffering, though the means 
and requisite knowledge possessed at that early date were 
but scanty for the alleviation of any but the simplest mal- 
adies. 

Christian physicians of this age have vastly greater 
powers for demonstrating their brotherliness in this direc- 
tion than had their predecessors. To the ignorant and 
superstitious the achievements of hospital surgery seem 
little short of miraculous. Without question they per- 
form a somewhat similar function to that of the miracles 
wrought by Christ in the early days of Christianity. They 
call attention and by their very nature make the recipients 
inclined to listen to the teaching with which they are ac- 
companied. 

" They soon learn that a religion of which such work 
is the fruits cannot be altogether bad ; that a religion that 
the foreign physician believes and that prompts him to 
work among them under such disagreeable conditions, 
and do for them things that their relatives are seldom will- 
ing to do, must have some reason in it. In short, they 
hear the Gospel more regularly, and in a state of mind 
produce? by leisure, by freshness and by the spirit of the 



Preparation of the Medical Missionary 73 

place, better calculated to produce deep and lasting im- 
pressions than is usually the case at the church." 

A hundred years ago Medical Missions to the heathen 
might have been organized. Great good would assuredly 
have resulted. But it would have been comparatively dim- 
cult in many lands to have demonstrated the superiority of 
Western Medicine over many of the methods in use among 
these peoples. Of course there would have been supe- 
riority observable and distinctly so ; but not of the spectac- 
ular nature which to-day is easy and which is such a 
power in breaking down prejudices and winning confi- 
dence. However superficially the history of Christianity 
be reviewed the impression is left vividly upon thought 
that for every great onward movement there has been a 
singular preparation of the world and of the agents 
through whom the world was to be impressed. The po- 
litical conditions of the world's great powers at the ad- 
vent of Christianity was a remarkable illustration of this. 
The preparation in this present century for world-wide 
missions is seen in the drawing together of all parts of the 
globe through rapid transit, railroad and steamship, 
telegraphy and postal systems, and the speedy propaga- 
tion of thought by enormous hourly outputs from the 
printing press. Associate these material things with the 
revival of interest in foreign missions, exemplified by the 
concerts of prayer, foundation of missionary societies, ris- 
ing interest among young people and the dedication of 
thousands of students and others to the cause of foreign 
missions, and it will be seen how the two forms of prep- 
aration meet at a focal point where they become capable 
of working in harmony for a great and widespread move- 
ment for the progress of the Kingdom of our Lord. 

Just such a duplex preparation is seen in the world 
to-day for the wide establishment of Medical Missions in 
heathen lands. 

A very brief survey will enable us to compre- 
Technicai hend the wonderful technical armament 
Preparation, vvhich has become the property of the medical 
profession during this century of missions. 

We have already alluded to one discovery which has 
§0 illumined the century — the discovery of the protection. 



74 The Healing of the Nations 

afforded against smallpox by vaccination. In our judgment, 
that one item of knowledge would be an almost price- 
less gift to bestow upon the rest of mankind. While it is to 
Jenner that we are indebted for this discovery it was many 
years before the scientific principles upon which its pro- 
tection was based were clearly defined. Pasteur's splen- 
did work on low forms of vegetable life not only put vac- 
cination on a sure footing, but gave enormous impulse 
to an entirely new and very important department of 
science, which has shed light on scores of morbid proc- 
esses, previously little understood. It was a stride of in- 
calculable importance which was made when it was dis- 
covered that a large number of acute diseases were due to 
the presence in the body of some minute parasitic vege- 
tation — germs or micro-organisms. This was but the 
beginning of still greater triumphs in the science of Bacte- 
riology, or the study of these microscopic organisms. 

The great complementary discovery to the above fact 
was made when it was found that many of these very viru- 
lent organisms manufactured a material which at last be- 
came inimical to their own existence. Not only has it 
thus been possible to identify the actual morbific agent of 
a disease, but also to single out and apply the remedial 
product in the form of " anti-toxins."* 

To give but one example (and that perhaps the most 
striking) of the reduction of deaths through this new 
method of treatment, we would instance the use of the 
diphtheria anti-toxin. This has only been before the pro- 
fession as a whole since the fall of 1894. The reduction 
of mortality through its use has been one of the modern 
triumphs of therapeutics. In some hospitals the number 
of deaths occurring has been considerably less than one- 
third the mortality previous to its use. That is to say, 
that out of every 100 persons who formerly would have 
died, sixty-six lives are now saved. t Research along sim- 
ilar lines has yielded results of varying degrees of value 
in the treatment of cholera, bubonic plague, hydrophobia, 

* This is an exceedingly rough and popular statement of the facts, and is not scien- 
tifically precisely the case in many instances. 

+ Medical readers may be referred to very interesting and instructive articles in An- 
nual of Gynaec. and Pediat., No. 7, 1897, by F. L. Morse, and Brit. Med. Journal^ 
Jan. 28, 1899, p. 197. 



Preparation of the Medical Missionary 75 

and tuberculosis. It is even claimed already that it has 
yielded light on the origin of cancer, though this latter 
claim has by no means been established as a scientific fact.* 
But perhaps the greatest contribution that Bacteriology 
has made to the realm of practical Medicine has been its 
surgical aspect. The work of Pasteur, Tyndall and Lister 
is now almost classical and finds its popular expression in 
the term " listerism." These scientists each contributed 
to the others' work, which led Lister at last to the dis- 
covery that the inflammation of surgical wounds was due 
to the fermentative processes of these minute organisms. 
That discovery made, it was but a step to the finding that 
certain chemical solutions were poisonous to these germ- 
bodies. Lister found that by using solutions of certain 
germicidal chemicals the putrefactive changes could 
be controlled or abolished. Such a discovery has done 
nothing less than revolutionize the whole of surgical pro- 
cedure. Lord Lister, it has been stated, has probably, by 
means of this discovery, saved more lives and mitigated 
more suffering than any man living in this or any past 
generation. This seems excessive tribute, and yet when 
one compares the frightful death rate in the past in se- 
rious operations with that of the present day, one realizes 
it is probably the statement of an actual fact.t The enun- 
ciation of antiseptic and aseptic principles has not only 
widened our scope, but has permitted the entrance into 
surgical fields unthought of in our fathers' time. 

The safety and brilliancy of cranial and abdominal 
operations lies as a heavy hand of responsibility upon us 
to devote our securer knowledge and safer manipulative 
skill to this supremest and noblest service of God among 
those to whom we can be an agent of physical salvation 
and a messenger of spiritual hope. Many injuries no 
longer form a noli me tangcre to the surgeon which before 
were cause of intense anxiety as to whether he was justi- 
fied in attempting surgical alleviation. But even this' 
priceless boon could not have been fully appropriated, if 

* See Practitioner, April, 1899, for latest views of American and British authorities 

t" Eighty per cert, of all wounds treated " in Nussbaum's c'inic in Munich " were 

attacked by hospitdl gangrene. Erysipelas was the order of the day to such an extent 

that its occurrence could almost have been looked upon as the normal course." 

(Deutsche Zeitschrift fiir Chirurgie. 1877.) 



76 The Healing of the Nations 

there had not also come to mankind the discovery of ari^ 
aesthetics in this century. We hardly know which is the 
greater gift ; their benefits seem to interact one upon the 
other, and each of these twin discoveries is indispensable 
to modern surgery. Yet perhaps the palm is to be ac- 
corded to the sister of sleep. It is now easy for the sur- 
geon to conduct his investigation into regions which 
would have been impossible but for the benign influence 
of the " deep and painless slumber " induced by chloro- 
form or ether. And we would give the palm the more 
readily to the discovery of anaesthetics when we grate- 
fully remember its special service to motherhood in the 
" hour of trial." 

The use of chloroform is always a wonder in a Med- 
ical Mission hospital. The performance of painful pro- 
cedures without the patient feeling anything, is a new to- 
ken to a Chinaman of the wonderful power of the foreign 
doctor. 

This century has been rich in its inventiveness, which 
has made the discovery and investigation of disease far 
more definite and exact. The stethoscope has been a 
sixth sense to the physician in his knowledge of chest and 
heart diseases, and even now its capabilities are annually 
being enlarged and improved upon. The ophthalmoscope 
is to the surgeon what the photographic plate is to the 
astronomer — a piercing eye which can see further and find 
more than could unaided vision. The laryngoscope and 
clinical thermometer are other outstanding products of 
scientific Medicine. 

The discovery of oxygen at the close of the eighteenth 
century and the demonstration of its relation to the blood, 
the manufacture of quinine, strychnine, iodides, bromides, 
and a score of other " ines " and " ides " have all been of 
the past one hundred years. 

The work of Buffon, Cuvier, Hunter, Owen and Dar- 
• win in natural history has laid a sure foundation for bio- 
logical data and the principles deducible from them. The 
first sanitary commissions were instituted in 1838 and 
1844, an d from those commissions went out impulses for 
betterment of the public health of the people which have 
been felt in nearly every civilized land. 

" Nursing, from time immemorial, the tending of 



Preparation of the Medical Missionary 77 

the sick as a work of pure charity, has been carried on by 
religious communities. It is within our own times that 
the science and art of nursing have risen to their high 
standard, combining the highest motives with the highest 
efficiency, thanks to the completeness and the discipline of 
hospital training and to the advanced teaching of the phy- 
sician and surgeon. To Miss Florence Nightingale's no- 
ble service is this specially due." 

The treatment of the insane has been humanized since 
Pinel began his investigations in France. It was strange 
how long even in Christian lands the superstitions re- 
mained as to those mentally afflicted being possessed by 
evil spirits, or at least being " uncanny " and to be dreaded 
and treated with cruelty. Even physicians publicly advo- 
cated such treatment. Happily a party possessing such 
opinions no longer exists among the members of the pro- 
fession to-day, and we can ask with Hans Breitmann, 
" Vhere ish dot barty now ? " without fear of its discov- 
ery in any corner of our land. 

We have enumerated but a very few of the advances 
of Medicine in this century. It would have been a pleas- 
ant task to review it with some fullness, believing as we 
do that we are but recording events which conspire to- 
gether in making this era the most favorable ever known 
for the prosecution of Medical Missions. This, then, is 
our heritage to-day ! What are we doing with it ? We 
are to-day as men holding ten talents of latent power, and 
God does not expect from us the smaller services of two- 
talent men. Whether we stay at home or abroad, we are 
weighted with responsibility to invest all for the glory of 
God, Who bestowed them. 

» Never before in the history of Medicine has the Chris- 
tian physician had at his command such immense re- 
sources. Are the benefits of these resources to be con- 
fined to about one hundred million people of America and 
Europe? Are the sufferings of two-thirds of the world's 
population to go untended ? Is maternity to be a dreaded 
nightmare to our sisters in India and China, Persia and 
Africa, when the women of our own lands are tended with 
care and considerateness ? Are thousands to lose their 
sight each year because there are no surgeons at hand to 
couch cataracts ? 



78 The Healing of the Nations 

The answer to all this is far deeper than the mere 
claims made upon us because of the wonderful prepared- 
ness of the profession. Once more we may say that the 
answer spells itself out in love to God. When the fire 
from off the altar of love touches our lips, shall we not be 
constrained to cry, " Here am I ; send me " ? 

The preparation of the profession is 
Spiritual Preparation of not technical alone; it is spiritual. 

the Profession. For many generations there have been 

men who illumined the profession 
not by their medical work alone, but because they stood 
enrolled as humble followers of Jesus Cl}rist. The names 
of Haller and Boerhaave, Cheselden and Pare, Sydenham 
and Abercrombie „ and in later days, Simpson, the discov- 
erer of chloroform ; Sir Andrew Clark, " the prince of 
physicians and one of the noblest of men," and a host of 
others, will be remembered for their deep personal faith 
as well as their scientific attainments.* To-day, however, 
this spiritual phalanx is vaster and stands more compact 
in the army of medical practitioners than ever before. 

A man of great experience and keen insight told the 
author that it was hard, forty years ago, to find Chris- 
tian doctors in England ; now they are numerous. The 
spiritual awakening among medical students is even more 
remarkable. Thousands are to-day enrolled in Christian 
associations in medical colleges in North America and 
Europe. This has practically been entirely the growth 
of the past fifteen years. The medical students who have 
decided to become foreign missionaries during the past 
eight years may be counted by hundreds. 

What does this preparation, both technical and spirit- 
ual, mean ? Does it not mean that the Spirit of God woul<f 
lead forth a band of men and women who have studied in 
the schools of Western Medicine, into a fuller, larger, ho- 
lier and nobler service, in lands whose need sorely cries 
out for helpers and healers, and whose spiritual darkness 
requires the rising of the Sun of Righteousness if the 
black clouds of ignorance, superstition, cruelty and sin 
are to be rolled back and a fairer day is to dawn ? 

* We have purposely omitted names of any living physicians. It would be easy to 
compile a very long list of such. 



AN APPEAL 



" I cared not where or how I lived, or what hardships I went through, 
so that I could but gain souls to Christ. While I was asleep I dreamed 
of these things, and when I waked the first thing I thought of was this 
great work. I longed to be a flame of fire, continually glowing in the 
service of God and building up Christ's Kingdom to my latest, my dying 
moments." 
^ -1 - — David Brainerd. 

11 To the spirit select there is no choice. 
' He cannot say, This will I do or that. 

A hand is stretched to him from out the dark, 
Which grasping without question, he is led 
Where there is work that he must do for God. 



To the tough hearts that pioneer their kind 
And break a pathway to those unknown realms 
That in the earth's broad shadow lie enthralled, 
Endurance is the crowning quality, 
And patience all the passion of great hearts." 

—James Russell Lowell. 

" The day is short, and the task is great, and the workmen are slug- 
eish and the reward is much, and the Master of the House is urgent.*' 
s ' — Rabbi Tarphon. 



Wanted — men : 
Not systems fit and wise, 
Not faiths with rigid eyes, 
Not wealth in mountain piles, 
Not power with gracious smiles, 
Not even the potent pen : 
Wanted— MEN." 



80 



VI 

AN APPEAL 

The work of the medical missionary is many- 

The Day's sided. It is not bisected into two parts desig- 

Work. nated as spiritual and medical. Like the 

shield, it has two sides, but it is a whole — a 
spiritual whole. The medical missionary goes as a spir- 
itual agent to do spiritual work and that motive domi- 
nates his task just as truly when he is amputating a limb 
as when he is lending a hand to some poor fellow battling 
and beaten with the waves of sin. Like the water filling 
the empty vase the work takes on different forms accord- 
ing to the delimiting surroundings. 

It might roughly be enumerated as follows : ( I ) Work 
among patients in hospital, hospital employees and among 
students or nurses. This would include a simple service 
every morning in the wards, the loaning of books and 
tracts and as much personal conversation with patients as 
possible. This is needed to deepen the feeling in patients 
that the doctor cares for their higher natures far more 
deeply than for their mere physical needs ; that they are 
not " cases," but brothers and sisters of himself. It is 
needed also to find out how far his more public exhorta- 
tions are being understood and to very simply explain the 
real meaning of these strange doctrines which are so new 
and often so incomprehensible to their minds. Sometimes 
a special meeting is held each week for detailed explanation 
of the Bible and often a prayer meeting for the Christians 
is a regular feature of a mission hospital. This is prob- 
ably the aspect of work which bears the greatest fruitage ; 
it is more costly in time and sympathy and therefore is 
more productive. In a very real spiritual sense it is 
axiomatic that " whatsoever a man soweth, that shall he. 
also reap." 

81 



82 The Healing of the Nations 

(2) Service for the out-patients on receiving days. 
As a rule the out-patients are gathered together into two 
halls or rooms, one for men and one for women. A 
Christian service of a very simple nature is held previous 
to each company being seen by the physician. This service 
is usually conducted by the doctor, and is followed up by 
native evangelists and Bible-women. In some missions 
each patient is given a ticket with a number upon it and 
a text of Scripture. The number allows them to proceed 
in the order in which they arrived. This impartiality is 
in itself a striking lesson, as difference of rank is thus 
neglected, and the rich or high caste are not permitted to 
take precedence over the poor or pariah. 

(3) House-to-house visitation is partly engaged in at 
the call of those natives in need of medical aid. It is also 
done among those who have left the hospital after treat- 
ment. Some very valuable results have accrued from this 
outside visiting. Often it has been to some high official's 
house, and has afforded a splendid opportunity for intro- 
ducing the Gospel to those who would be reached in no 
other way. The majority of medical missionaries, how- 
ever, seem inclined to believe that this outside work 
should not be cultivated, as taking away time from the 
sphere of work in the hospital which is usually deemed 
most fruitful. Occasionally, however, it is found emi- 
nently expedient to embrace such opportunities. An im- 
portant addition to outside calls is that often made by the 
presence of other missionary families needing attendance, 
either in or near the Medical Mission. 

(4) Medical itinerating. The value of this form of 
effort varies greatly according to the country. Dr. Grace 
N. Kimball, of Van, Turkey, so well known for her brave 
services at the time of the Armenian massacres, speaks of 
this form of effort as being almost unworthy of the time 
expended : '"A medical missionary goes on an itinerating 
trip, visiting a large number of villages, staying a day or 
two in each, seeing all the multitude who come, free, giving 
each a dose of medicine, preaching the Gospel and passing 
on. This makes a very telling letter to the missionary 
magazine, yields a great and fascinating excitement to the 
missionary . . . and yet the price paid for this has 



An Appeal 83 

been a lavish expenditure of physical strength on the 
part of the medical missionary and of medicines and other 
medical adjutants, much of which can legitimately be 
considered thrown away." 

On the other hand, there is a chorus of praise ac- 
corded by missionaries in other parts of the world to this 
plan, which on the surface harmonizes so nearly with 
that adopted by Christ. Sometimes the spectacular dem- 
onstration of minor surgical procedures is enough to 
stimulate further inquiry into the doctrines preached and 
to bring other and more serious medical cases from dis- 
tant villages to the hospital. These returning to their 
own homes, become propagating centres of Christianity. 
It also makes a profound difference whether there are na- 
tive workers in the districts visited to follow up the work. 
In Japan, such medical touring has had to be done in co- 
operation with the local physicians and copies of the pre- 
scriptions given handed to him, on account of the legal re- 
quirements regulating medical practice in that Empire. 
Itinerating is often of value as a help to little churches 
distant and scattered, and cheers on the natives who may be 
working among their countrymen. It is the means also 
of leaving the permanent influence of books and leaflets 
in the hands of very many who have listened to the 
preaching of the missionary physician. 

(5) In addition to all the above, comes the actual med- 
ical work of the physician. It consists in seeing patients, 
prescribing, operating, dressing their wounds and very 
often dispensing medicines, making and adapting appara- 
tus, as well as the exacting work of recording cases, or- 
dering drugs and keeping accounts. A medical mission- 
ary may also have on his hands the training of several 
young men as dressers or as qualified practitioners. No 
wonder that a man needs to be well qualified where he has 
to be his own anaesthetist, dresser, clerk, hospital archi- 
tect, and superintendent, dispenser and compounder, nurse 
and house surgeon ! 
Diseases Man y of the diseases dealt with find their coun- 
Prevaient. terpart in any large hospital at home, yet there 
are others which are frequent in these lands 
axid are excessively rare among ourselves. 



84 The Healing of the Nations 

A graphic and very representative picture of a physi- 
cian's daily ward visit is given by Dr. James A. Greig, of 
Kirin, Manchuria : " In the early hours of the morning 
we pay our visit to the wards to see how our patients are 
getting on. We can accommodate between forty and 
fifty, and usually the wards are nearly full. As I enter 
a ward the word goes round, ' Ta-fu lai la ! Ta-f u lai la ! ' 
1 The Doctor has come ! The doctor has come ! ' and 
many pale faces turn toward me, and anxious hearts ea- 
gerly await my words of advice, of cheer or of warning. 
As each temperature chart is examined and surgical dress- 
ing changed, one realizes the enormous power we in West- 
ern lands have received for doing good and relieving suf- 
fering in the dark places of the earth. How delightful to 
watch the return of health to the frame wasted by disease, 
and to see the cruel, fiery hand of ophthalmia arrested ere 
the sunshine of life dies out and the darkness of incurable 
blindness sets in. To soothe the fevered brow and re- 
lieve the racking pain is at once our privilege and reward. 
That bronzed and emaciated fellow is a martyr to tubercu- 
lar disease. One of his limbs had to be removed and sev- 
eral other operations had subsequently to be performed. 
He has had a long and trying time of it, but now he is be- 
ginning to mend. Months ago he would have died in a 
miserable dirty hovel but for the kindly help he has re- 
ceived. 

" The man in the second bed from the door was 
brought to us from a town a hundred miles away, suffer- 
ing from a form of cancer. The growth has been com- 
pletely excised, and the wound has now healed. He has 
had a severe struggle breaking off the opium habit, which 
he had acquired while seeking relief from pain. He has 
succeeded in stopping the use of the drug, and is return- 
ing home in a day or two. The lad in yonder cot broke 
his thigh when playing with some comrades. As he calm- 
ly slept under an anaesthetic, we set and comfortably band- 
aged his limb in a rigid apparatus, and now it is only a 
matter of time, and without deformity or lameness he will 
be able to romp and play once more. 

" These three young men, with their arms in slings, 
were injured in the arsenal The making of silver coins, 



An Appeal 85 

which has recently been instituted, has caused a number of 
accidents, as the machinery is new and not well under- 
stood. These men were injured in this department. 

" That little boy was dreadfully burnt about the neck 
and chest while making percussion caps. For some nights 
we feared he would not survive, but he did. Then his 
eyes were our chief anxiety. He begged and prayed us to 
give him back his sight. After many weeks one of his 
eyes was restored, and he is very happy over it. 

44 The sallow, careworn-looking man next the window 
is, I fear, beyond hope of cure. He came to us with very 
advanced bone disease, and although he has had two oper- 
ations under chloroform, and everything has been done 
that our skill could suggest, his chance is not good. He 
is an only son, and his old father bends over him day by 
day with all his paternal tenderness, but there is little im- 
provement. But most of our cases do well, and it is glad 
work." 

Skin diseases are frequent and doubtless the uncleanly 
habits of the people have a large place as the causa caus- 
ans of many of them. Eye troubles of all kinds abound. 
A fruitful source of disease of the eyelids in China is the 
custom of barbers turning them over and " cleaning " 
them. After this process the eye is found to be inflamed, 
which being considered proof of insufficient cleaning of 
the lids, the practice is persisted in, leading to serious and 
often permanent injury. 

The poor food, the use of salt provisions and the gen- 
eral irregularity in eating cause a great deal of dyspep- 
sia in certain countries. Inflammatory diseases are not 
so common with the Chinese as in our own lands, and 
their lymphatic constitutions make them unexcelled as 
patients in bearing pain of operations. Leprosy is preva- 
lent in India and China ; malarial fevers, tumors, and epi- 
demic illnesses are common in the majority of Medical 
Mission lands. 

Some of the difficulties encountered in the work 
Difficulties, are due to ignorance or superstition which in 
time will disappear. 

Impatience is not peculiar to these lands ; every hospi- 



86 The Healing of the Nanons 

tal surgeon at home has had sad experience in dealing 
with it. But united with ignorance it is perhaps more un- 
manageable. As an example, we might instance a case 
that Dr. Kenneth Mackenzie received into his hospital — a 
man with fracture of the thigh-bone. " It had been re- 
peatedly explained to him that he must on no account re- 
move the splint and appliances and that time would be re- 
quired to effect a complete cure ; but at the end of a week, 
seeing no manifest improvement, his friends removed the 
bandages and splint and carried him off." 

The meddlesomeness of patients and their desire to ex- 
hibit their wounds to friends and relatives cause many 
a heart burning to the surgeon who has just dressed the 
wound with every precaution of " surgical cleanliness." 
Again and again has a patient lost an eye through subse- 
quent inflammation from caring nothing for the warning 
not to touch the dressing, repeated over and over by the 
physician. 

Injurious dietary is another difficulty even with hos- 
pital patients. In mission hospitals in China one or more 
friends of the patient come to nurse him. It requires ex- 
cessive vigilance on the part of the doctor to prevent inju- 
rious food being administered surreptitiously by friends. 
A typhoid case on the high road to recovery has been 
hurried to a fatal termination through such mistaken kind- 
ness of so-called friends. 

These are but samples of the thousand and one petty 
troubles of a missionary doctor. " What with the strain 
of grasping the essential details of every case, and choos- 
ing the appropriate remedy for each, the cramped posture 
while bending over and operating on some surgical case, 
and the necessity during all of seeing everything that is 
going on and maintaining order, it is no wonder if one is 
tempted to lose patience. What superhuman patience 
must Christ have had ! Thronged by multitudes who 
came only to witness miracles, worried about a thousand 
trifling ailments, and where not trifling or fanciful, about 
sickness, to a great extent the direct consequences of lust, 
dirt and greed, argued with by sneering priests and un- 
derstood by none. We speak of following Him ; we speak 



An Appeal 87 

of Christlike work ; but, oh ! how different is the spirit and 
power of its performance."* 

Still deeper difficulties are the malicious reports which 
may be placarded about and which have to be lived down ; 
and the indifference of patients to the spiritual side of the 
work — coming for what they can get of physical benefit, 
but caring nothing for the call of the Great Shepherd of 
Souls to return home to the Father's house. 

** Into a desolate land 

White with the driven snow, 
Into a weary land 

(Their) truant footsteps go. 
Yet doth Thy care, O Father, 

Even Thy wanderers keep ; 
Still doth Thy love, O Shepherd, 

Follow Thy sheep." 

How the chilling apathy of patients must oppress the 
physician ! The enormous inertia to be overcome, even 
by such favorable means as Medicine, must sometimes al- 
most crowd optimism out of the field ; and hope, and even 
faith, are beleaguered on every side by the crushing 
weight of difficulty. But the sun shines again and grati- 
tude and humble following of Jesus Christ is the glorious 
result in the lives o f many others; and that is reward 
enough. 

The author is quite unable to pronounce on 

Qualifications the qualifications necessary for such work as 

Needed. t h e foregoing pages indicate. The remarks 

following are almost wholly drawn from those 

who are able to speak with authority.t 

I. There can be no question that the foremost qualifi- 
cation needed for a medical missionary is that he should 
be a sincere and earnest follozver of Jesus Christ. It 
would seem superfluous to write this down. Yet from the 
author's personal knowledge it is a most needed statement. 
Not once or twice, but many times, have medical students 
spoken to us about becoming medical missionaries when 

* Dr. Arthur Neve in Medical Missions at Home and Abroad. March, 1889 
Page 265. 

t This section is largely adapted from Chap. 10 of " The Medical Mission." Dr. W. 
J. Wanless. 1808. 



88 The Healing of the Nations 

they freely acknowledged that they were not followers of 
Jesus Christ. We would bid God-speed to every man or 
woman who will help to heal the world's heart disease 
from whatever motive. We rejoice in every humanita- 
rian and humane effort for the alleviation of suffering, 
and we wish that such efforts might be extended and aug- 
mented in these needy lands ; but we would nevertheless 
remind ourselves of the difference between such works of 
philanthropy and the work of healing the sick in the name 
and for the sake of the Lord Jesus and with the clearly de- 
fined purpose of letting the work of healing be subordinate 
and introductory to preaching the Good Tidings of the 
love of God and salvation from sin. 

As a visitor stands in the busiest part of the City of 
London at noonday he hears the peal of a score of church 
bells ringing out the hour. Louder than all the chimes of 
London booms out the great bell of St. Paul's Cathedral, 
on whose rim, suspended high above all other bells, are 
engraved the words, " Woe is unto mc if I preach not the 
Gospel." A hundred lesser bells are ringing out the mes- 
sages of altruism, humanity and the brotherhood of man, 
but far higher than these peals out the glorious Gospel of 
our Lord Jesus Christ, a Gospel setting forth not an ideal 
alone, but bringing a strength into the individual life for 
the attainment of that ideal. 

It is this ideal for which the medical missionary lives. 
If men and women are going with this message, it is 
requisite that they know very personally the Saviour of 
whom they speak and experience in daily life the salvation 
which they, as ambassadors, offer to others. It is true 
that much' of the work is what is termed secular and rou- 
tine. That is greater reason for the medical missionary 
being thoroughly furnished unto every good work, and 
having all the checks and stimuli to be found from a life 
hid with Christ in God. 

2. He should be a good doctor. — " In the mission field 
he will be thrown back on his own resources. He is often 
alone in face of the gravest responsibilities. He is not 
sustained by an educated public sentiment which will in- 
sure for him an enlightened and charitable view of all that 
he does. He is surrounded by envious charlatans, who 



An Appeal 89 

will spare no efforts to injure him by detraction and mis- 
representation. In such circumstances he has need of all 
the knowledge and skill furnished by a thorough medical 
training, of all the resources of a well-balanced mind and 
a courageous heart. His failure will not injure him alone. 
His success will advance the cause of Christ." * 

Professional efficiency does not necessarily mean pro- 
fessional celebrity. It means a thorough, all-round med- 
ical education, such as any diligent student may secure by 
a four to five years' curriculum in a high-grade medical 
college. A year's hospital or post-graduate experience will 
be a very valuable addition to such a course. In any case suf- 
ficient knowledge should be gained to insure personal confi- 
dence and progressive efficiency when on the field. The large 
amount of surgical and ophthalmic work to be done will 
naturally suggest those subjects as worthy of specialization 
in the year after graduation. Do not let any think that their 
brilliant talents will be wasted and find no adequa'te field 
of effort in this work. The highest and best is too low 
and too poor for the Master's royal service. 

Harold Schofield did not throw away his talents, which 
had won him $7,000 in prizes and scholarships, when he 
went out to China and lived and died there inside of a 
decade. China is still feeling the vibration of that heart 
beat ; the stray snatches of music in scores of lives have 
reset themselves into a scheme of a higher and more con- 
sistent harmony, through the controlling influence of his 
life's song. 

Is it a light or irresponsible work that any should 
fancy the best is far too good for use where the remunera- 
tion is but that of a satisfied conscience and a heart filled 
with the quiet joy of being serviceable? Ruskin says 
finely, " It is an incomparably less guilty form of robbing, 
to cut a purse out of a man's pocket than to take it out of 
his hand on the understanding that you are to steer his 
ship up channel, when you do not know the soundings. 
The medical man has precious human ships to steer up the 
channel of disease, which is studded with rocks and shoals, 
to the harbor of health, and heavy and stringent is the ob- 
ligation that rests upon him to make himself intimately ac- 

*G, E, Post, M.D., Beyrout. 



9 o The Healing of the Nations 

quainted with its pathological soundings; only by assid- 
uous and prolonged study can he hope faithfully to pre- 
pare himself for his work." 

3. Good health. — Clearly the work is intense with 
heavy responsibilities. Physically and mentally he is ever 
subject to an exceptional strain. "Add to this the enerva- 
tion of a foreign climate and the occasion for sound 
health is at once manifest. The student who is able at the 
present time to endure the pressure of a three or four 
years' medical course in addition to a preliminary educa- 
tion without impairment of his general health or nervous 
system, will promise well for successful endurance on the 
foreign field. It is not always necessary that a student 
possess an athletic physique or robust appearance, but 
the work does call for the power of endurance, a tempera- 
ment neither nervous nor phlegmatic, a disposition devoid 
of irritability, but hopeful and courageous. An extraor- 
dinarily healthy appearance, though desirable, is not al- 
ways demanded, but good staying qualities are indispensa- 
ble. It is not always those who apparently are best fitted 
to withstand the strain of work and climate that actually 
enjoy the best health. Indeed the reverse is often the 
case. A previous record of good health under continued 
mental pressure and physical trial at home augurs well 
for continued good health abroad, and is probably the best 
guide in the decision as regards bodily endurance 
abroad * 

4. It is desirable, though not essential, that the mis- 
sionary doctor be apt to teach. " He is often the enter- 
ing wedge for others, he is a buttress to his evangelistic 
colleagues, he is often preaching best when practising in 
the name and spirit of Christ. But if he has also the gift 
of speech, not necessarily of making speeches, but of apt, 
ready use of his opportunities by well-chosen words of 
sympathy, advice, rebuke, instruction and inspiration, his 
influence will be two-fold. For this purpose he should be 
specially grounded in the Scriptures and imbued with the 
spirit of prayer. As his acumen in diagnosis is only a 
prelude to his skill in prescribing the medicine or per- 
forming the operation which offers hope and life, so 

* The Medical Mission. W. J. Wanless. Pages 72, 73. Tbe italics are our own. 



An Appeal 91 

should his spiritual insight into the wants of his patient 
be a preparation for the words which may reform his life 
and save his soul."' 

We have seen the need of the heathen world ; we 
ppeai. j iaye real j zed a jj ttle Q £ tlle va i ue f Medical Mis- 
sions, directly, indirectly and reflexly. 

What are we going to do? Shall we stay here in 
America, where there is a physician to about every 550 
people, or shall we go to India, where it is estimated by no 
less an authority than Sir William Moore that not 5 per 
cent, of the population is at present reached by medical 
aid ? It is stated that even in Calcutta, one of the best 
medically equipped cities of Asia, three-fifths of the peo- 
ple have no medical attendance in their last illness. And 
this in India, with her government hospitals and dispen- 
saries and her magnificent Lady Dufferin Scheme of re- 
lief. Do we not hear the mute appeal from China? In 
North America there are considerably more than 4,000 
physicians to every two and a half million people. China 
has but one medical missionary for a similar population, 
though her need is a hundred-fold greater.* 

We have in addition to the physicians our great hos- 
pitals, nursing institutions, orphanages, convalescent 
homes, and homes for the incurable and dying. We have 
the knowledge of the laws of health, hygiene and sanita- 
tion. If recovery of a friend is unsatisfactory, there are 
specialists and consultants by the score in our great cities, 
whose help may be secured. Skilled nurses are obtain- 



* ll The following statistics include data which have been verified and may stand as a 
fairly approximate — not absolutely complete — representation of the philanthropic 
agencies of missions The total of medical missionaries at present is 680 ; of this num- 
ber 470 are men and 210 women. There are 45 medical schools and classes, with 382 
male and 79 female students— making a total of 461. There are 21 training schools for 
nurses, with 146 pupils. Neither of these statements includes 240 female medical stu- 
dents now in training as physicians, nurses and hospital assistants, under the care of the 
Lady Dufferin Association in India. There are 348 hospitals and 774 dispensaries. 
Exact statements as to the number of patients annually treated have been obtained from 
293 hospitals and 661 dispensaries, the total patients recorded in these returns being 
2.009,970. representing ^.087,169 treatments. If we make a proportionate estimate for 
the 5= hospitals and 113 dispensaries from which reports of the number of patients have 
not as yet been received the sum total of those annually treated will be not far from 
2,500,000. If we all.>w an average of three separate visits or treatments for each patient 
the total of annual treatments will be 7 500.000. There are 97 leper asylums henes and 
settlements, with 545-3 inmates, of whom 1987 are Christians There are 227 orphan and 
foundling asylums, with 14,695 inmates." (Christian Missions and Social Progress, 
Vol II. Pr Jas. S. Dennis ) 



92 The Healing of the Nations 

able at an hour's notice, and the presence of sickness in 
our midst draws forth at once the tenderest of care and 
sweetest forethought from relatives and friends. It does 
not state the case therefore to look merely at the lack 
of doctors alone, though that is to pronounce China's need 
as four thousand times greater than our own. Her cry 
is loud and long and so few hear or heed. 

Accountability is equal to capability. Our training in 
the school of sympathy, our knowledge of the remedial 
agents of disease and our personal realization of the need 
of sin for a supernatural salvation constitute a call from 
God. Coal on a great vessel is only so much ballast un- 
til turned into steam. So these talents given by the Spirit 
of God are only ballast in our lives till employed for the 
highest purposes for which they were granted. 

If the reader is a follower of Christ, it is to Christ that 
he must look for instruction as to his life-work. We have 
no right to drift into it through forces of environment or 
heredity ; nor have we a right to choose it because it 
pleases our scientific tastes or because it offers a congenial 
employment with pecuniary remuneration, and social 
status. Before all or any of these things must be heard 
the definite asking of God for the light of His plan for our 
lives. " Every man's life is a plan of God," and until that 
is seen let us not step into our life-work. Emerson says 
that the great crises of life are not marriages and deaths, 
but some afternoon at the turn of a road when your life 
finds new thoughts and impulses. Such crises occur as 
a man hears the strong crying of a great need unrealized 
before, and which he is conscious could be met by his own 
life service. 

In some great hospitals a bell is rung each time an ac- 
cident case arrives. Can you not fancy — and after all it 
is not very largely imagination — that you hear the sound 
of that accident bell, reverberating round the world ? 

Did you hear it just now — it was from China that the 
sound came. A poor Chinaman has fallen from a tree 
and injured himself. A crowd gathers round ; they gaze 
and laugh at his sufferings, and when they have had 
enough, move off and leave him to die.* Exaggeration, 

* This, and each of the following cases, is a fact. 



An Appeal 93 

you say? No, sober truth; there is no Red Cross man 
there to take him to a hospital, no ambulance to carry him, 
no hospital to which to take him. If he cannot move, his 
fellow countrymen will not help him. He will lie there 
and die. 

The bell is ringing in India. A boy has broken his 
leg. A string will be tied tightly round the fractured 
limb until at last gangrene sets in and a foreign doctor 
is sent for to amputate in order to save his life. 

The sound of the bell in Persia is wafted to us across 
the great plains and mountains of Asia. It tells of a 
woman in the hour of nature's sorest trial. The husband 
is by and also a medical missionary. " No, thanks ; you 
needn't trouble to operate ; it's only a wife ; I can easily 
get a new one, and I want a change." 

Now, it is booming and tolling in Africa, for a child 
in convulsions. What is to be done? A red-hot iron 
is pressed to the skull till a hole is burned down to the 
brain to let the demons out. Why not, it's only a girl; let 
her die. 

The bell sounds clearer and nearer now ; it is ringing 
in a city of America. Some poor fellow has had his arm 
wrenched off by machinery. W^hat is going to be done ? 
He is taken to a hospital, an interne or house surgeon sees 
him, a nurse is there to carefully tend him, to-morrow 
he will be seen by a visiting surgeon. If it is an operation, 
it will be done under an anaesthetic. 

It rings again in the home land ; this time a child is 
sick. If it is a poor child, our splendid children's hospi- 
tals are open for its reception. If it is the child of rich 
parents, the nursery will be made bright, relatives and 
friends will bring flowers and toys and fruit; a trained 
nurse will be y to relieve every discomfort and a physi- 
cian stands there doing his noble best for the little life 
which hovers on the borderland of life and death. And 
all for a little child. 

It rings once more a loud and urgent summons. A 
sister in the pangs of motherhood. Thank God, there are 
gentle voices, hushed footsteps, the skill and care of doc- 
tor and nurse — all these are immediately and as a simple 



94 The Healing of the Nations 

right bestowed on her and on the little life for whose sake 
she is in sore travail. Thank God it is so ! 

Brothers, and sisters, why this difference? Has the 
voice of Jesus become so feeble that we cannot hear it? 
Or, are we standing out of hearing distance ? These are 
no imaginary instances; they are real. Thousands are 
aying every day because Christian physicians have pre- 
ferred to stay at home and right for a living with fellow 
practitioners, instead of forsaking all to follow our Lord 
and fight the battles of the King. Do you think that if 
you go there will be a single case untended, a single acci- 
dent untreated? You know that scores are pressing and 
pushing behind you and will take up all the work that you 
lay down. But over there — if you neglect the opportu- 
nity of this love-service, they must suffer in unrelieved 
pain, and if death occur, there will be no comforter at 
hand to point them to the Guide of the shadowed valley. 
Not because of the needs of the heathen, not because of 
their ignorance or superstition or cruelty, but for the sake 
of Him Who loved us and gave Himself for us, shall we 
not go? 

Duty, opportunity, altruism are in themselves motives 
insufficient to impel us forward with fire and fervor which 
shall stand the strain and stress of disappointment and in- 
gratitude and fatigue. There is but one motive powerful 
enough ; it is the greatest thing in the world — Love. 

What holds us back? A silver dollar, a medical di- 
ploma, a life of comfort or distinction — these may loom so 
large in our vision as to shut out the face of Jesus as He 
bends in compassion over the suffering ones and turns to 
us with that piercing look and says, " Inasmuch — inas- 
much — as ye did it not ... ye did it not unto Me." 
If He, the Master of men, were here on earth to-day and 
wandered into one of our out-patient departments, would 
not we esteem it a royal privilege to bind up a finger of the 
Lord Christ, to be even for once His court physician ? 

And this is the privilege to which He invites us, if we 
would hear some day those other words : " Inasmuch as 
ye did it unto one of these, My brethren, even these least, 
ve did it unto Me." 



An Appeal 95 

" God said : ■ Break thou these yokes ! Undo 
These heavy burdens ! I ordain 
A work to last thy whole life through — 
A ministry of strife and pain. 

" ' Forego thy dreams of lettered ease ; 
Put thou the scholar's promise by ; 
The rights of man are more than these.' 
He heard and answered, ■ Here am I.* "* 



* The author is indebted for some of the illustrations used in this last section to 
Cry of Pain," by Miss Garvock, Church Missionary Society, England. 



BIBLIOGRAPHY 

Note. — The literature on Medical Missions is not large. Much of it 
is in the form of biographies of missionary physicians. It does not, there- 
fore, provide a great deal of available material for the study of the subject 
per se. 

With the exception of biographies, the literature is also for the most 
part contained in magazines and periodicals. It would obviously be use- 
less to give numerous references to denominational magazines, as very iew 
colleges have the past files of many missionary periodicals issued by the 
numerous boards. 

For these reasons it is suggested that each study class secure and use 
three pamphlets along with the foregoing chapters. 

These pamphlets are : 

The Medical Mission, by W. J Wanless, M.D. 

The Medical Arm of the Missionary Service. (A. B. C.) 

Murdered Millions, by Geo D. Dowkontt, M.D. 

Files should, if possible, be obtained of the following medical mis- 
sionary magazines : 

The Double Cross and Medical Missionary Record. 

Medical Missions at Home and Abr. ad. 

Frequent reference will also be made to "Medical Missions : Their 
Place and Power," by J. Lowe. 

Additional Readings for Chapter I. 

Barnes, I. H. : Behind the Great Wall. 1896. pp. 113, 114. 

Bird-Bishop, Isabella : Korea and Her Neighbours. 1897. pp. 
202-204. 

Double Cross, The : Oct., 1896, p. 216 ; March, 1897, p. 59 ; April, 
1898, pp. 115. 119- 

Dennis, James S. : Christian Missions and Social Progress. 1898. 
pp. 187-189, 191, 193, 198. 

Douglas, R. K. : Society in China. 1894. p. 115. 

Dowkontt, Gko. D. : Murdered Millions. 1897 ed. pp. 20-25, 

27, 59-6i. 

Gale, J. S. : Korean Sketches. 1898. pp. 34-36. 

Gospels, The Four. 

Lowe, J. : Medical Missions. 1887 pp. 1-23, 147-164. 

Medical Arm of the Missionary Service, The : i8q8 p. 5. 

Medical Missions at Hotne and Abroad : June, 1894, p 133 ; Feb., 
1896, p. 6q. 

Student Volunteer : Nov , 1 897, p. 21. 

Wanless W. J. : Th* Medical Mission. 1898. Chapters I. and II. 

Williams, S. W. : The Middle Kingdom. 1895. Vol. I., p. 376 ; 
Vol. II., pp. 122, 123. 



Bibliography 

Additional Readings for Chapter II. 

Balfour, Edw. : Cyclopedia of India. 1871-3. Article, Medicine. 

Barnes, I. H. : Behind the Pardah. 1897. p. 178. 

Bryson, M. I. : John Kenneth Mackenzie (n. d. ). pp. 287, 288. 

Christie, Dugald : Ten Years in Manchuria (n. d. ). p 85. 

Dennis, James S. : Christian Missions and Social Progress. 1898. 
Vol. I., pp. 102, 103, no, 187-189, 192, 198, 207 210, 212. 

Double Cross : May, 1896, p. 91. 

Dowkontt, Geo. D. : Murdered Millions. 1897 ed. pages 28-54. 

Lowe, J : Medical Missions. 1887. pp. 164-169. 

Missionary Review of the World: Sept., 1895, pp. 679, 680, 688; 
Sept., 1896, pp 672-674; Feb , 1897, p. 159. 

Wanless, VV. J. : The Medical Mission. 1898. Chapter III. 

Women in Missions, p. 150. 

Additional Readings for Chapter III. 

British Medical Journal : Dec. 17, 1898, p. 1857. 

Browning, Robert : Poem, The Strange Medical Experience of 
Karshish. 

Bryson, M. I. : John Kenneth Mackenzie (n. d ) p 177. 

Centenary Conference on Foreign Missions, London : 1888. Vol. I., 
p. 384. 

Dowkontt, Geo. D. : Murdered Millions. 1895. pp. 62-68, 74-86. 

Encyclopedia of Missions : 1891. Vol. II., p. 52. 

Lowe, J. : Medical Missions. 1887. pp. 171 -174, 51-87 ; chapters 
IV., V. 

Medical Arm of the Missionary Service, The : 1898. pp. 35, 37- 
40, 52 

Missionary Review of the World: Sept., 1895, p. 719. 

Pennell, T. L. : An Episode of the Afghan Medical Mission (n. d. ). 
pp. 1-12. 

Tracy, C. C. : Talks on the Verandah. 1893. pp. 223, 224. 

Wanless, W. J. : The Medical Missions. 1898. Chapters IV. -VIII. 

Wanless, W. J. : Medical Missions, Facts and Testimonies. 

Wanless, W. J. : Medical Mission Work in India (n. d.). 

Additional Readings for Chapter IV. 

Acland, Sir Henry : Medical Missions in relation to Oxford. 1898. 
p. 27. 

Centenary Conference on Foreign Missions, London, 1888. Vol. II., 
p. no. 

Coltman, R. : The Chinese. 1891. p. 175. 

Dennis, James S. : Christian Missions and Social Progress. 1898. 
Vol. I., pp. 120, 121, 125. 

Dowkontt, Geo. D. : Murdered Millions. 1895. pp. 86-88. 

Graves, R. H. : Forty Years in China. 1895. pp. 237, 248. 

Laurie, T. : Missions and Science. 1885. pp. 125, 408, 411, 415. 

Lowe, J : Medical Missions. 1887. Chapter VII. 

Medical Arm of the Missionary Service, The : 1898. pp. 52-54. 

Woman in Missions, pp. 154, 156. 



Bibliography 

Additional Readings for Chapter V. 

DOUGLAS. R. K. : Society in China. 1894. p. 152. 

Dennis, James S. : Christian Missions and Social Progress. 1898. 
Vol. I., pp. 120, 121. 

Foster, A. : Christian Progress in China. 1889. p. 207. 

Medical Arm of the Missionary Service, The : 1898. pp. 28, 29, 31. 

Medical Missions at Home and Abroad : March, 1892, p. 86; June, 
1894, P- 33- 

Missionary Review of the World : Sept., 1895, p. 679. 

Outlook : Sept., 1897, pp. 167-172. 

Thoburn, J. M. : India and Malaysia. 1892. p. 384. 

Women in Missions, pp. 160, 169. 

Wanless, W. J. : The Medical Mission. 1898. pp. 25-27. 

Additional Readings for Chapter VI. 

Beach, H. P. : Dawn on the Hills of T'ang. 1898. pp. 117, 118. 
Double Cross, The: May, 1896, p. 104; Sept., 1896, p. 187 ; July, 

1898, p. Ill ; Sept., 1898, p. 145. 

Dowkontt, Geo. D. : Murdered Millions. 1895. PP- l2 ' I 9, 95, 9^. 

Isaiah, Chapter LXI. 

Lowe, J. : Medical Missions. 1887. pp. 263-283. 

Luke, Chapter XVI. 14-18. 

Matthew, Chapter XXV. 31-46. 

Medical Arm of the Missionary Service, The : 1898. pp. 12, 13. 

Medical Missions at Home and Abroad : August, 1890, p. 164; Jan., 

1899, p. 235. 

Phelps, Elizabeth Stuart : The Story of Jesus Christ. 1898. pp. 
135 160. 

Wanless, W. J. : The Medical Mission. 1898. Chapters X., XL 



STUDENT VOLUNTEER PAMPHLETS. 

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